Provider Demographics
NPI:1912032616
Name:DAWE, CARAH ELIZABETH (PTMS)
Entity Type:Individual
Prefix:MISS
First Name:CARAH
Middle Name:ELIZABETH
Last Name:DAWE
Suffix:
Gender:F
Credentials:PTMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 RIVERWAY
Mailing Address - Street 2:APARTMENT 10
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6421
Mailing Address - Country:US
Mailing Address - Phone:508-208-6541
Mailing Address - Fax:
Practice Address - Street 1:352 RIVERWAY
Practice Address - Street 2:APARTMENT 10
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6421
Practice Address - Country:US
Practice Address - Phone:508-208-6541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17263225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist