Provider Demographics
NPI:1710609383
Name:JAMES, DAWN (PT, DPT, DSC)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:PT, DPT, DSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6105 RED CEDAR CIR
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72916-8845
Mailing Address - Country:US
Mailing Address - Phone:626-831-3979
Mailing Address - Fax:
Practice Address - Street 1:6105 RED CEDAR CIR
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72916-8845
Practice Address - Country:US
Practice Address - Phone:626-831-3979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR49782251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics