Provider Demographics
NPI:1891066940
Name:DAKINS, TONI
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:DAKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 S 18TH ST
Mailing Address - Street 2:
Mailing Address - City:BARRON
Mailing Address - State:WI
Mailing Address - Zip Code:54812-8716
Mailing Address - Country:US
Mailing Address - Phone:715-537-5855
Mailing Address - Fax:
Practice Address - Street 1:411 S 18TH ST
Practice Address - Street 2:
Practice Address - City:BARRON
Practice Address - State:WI
Practice Address - Zip Code:54812-8716
Practice Address - Country:US
Practice Address - Phone:715-537-5855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-21
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN104184225X00000X
WI5139-26225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist