Provider Demographics
NPI:1760889695
Name:COLALUCA, DAWNITZA MARIE (DPT)
Entity Type:Individual
Prefix:
First Name:DAWNITZA
Middle Name:MARIE
Last Name:COLALUCA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 DEWEY AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-2508
Mailing Address - Country:US
Mailing Address - Phone:724-730-2733
Mailing Address - Fax:
Practice Address - Street 1:902 DEWEY AVE
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-2508
Practice Address - Country:US
Practice Address - Phone:724-730-2733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR60565225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist