Provider Demographics
NPI:1932458452
Name:DOBBS, DUSTI D (OT)
Entity Type:Individual
Prefix:
First Name:DUSTI
Middle Name:D
Last Name:DOBBS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-1221
Mailing Address - Country:US
Mailing Address - Phone:765-332-2951
Mailing Address - Fax:765-332-2951
Practice Address - Street 1:2021 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-1221
Practice Address - Country:US
Practice Address - Phone:765-332-2951
Practice Address - Fax:765-332-2951
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31004006A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist