Provider Demographics
NPI:1922337096
Name:DOBBS, PRISCILLA RASHIDA (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:RASHIDA
Last Name:DOBBS
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16506 BRIDGE END RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6094
Mailing Address - Country:US
Mailing Address - Phone:786-301-0952
Mailing Address - Fax:305-512-0200
Practice Address - Street 1:1400 NW 12TH AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1003
Practice Address - Country:US
Practice Address - Phone:305-689-0105
Practice Address - Fax:305-689-5504
Is Sole Proprietor?:No
Enumeration Date:2009-12-18
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL24822255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer