Provider Demographics
NPI:1023266749
Name:DAWN FOSTER, P.T., P.C.
Entity type:Organization
Organization Name:DAWN FOSTER, P.T., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:C
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:317-839-8055
Mailing Address - Street 1:7668 WIGMAKER CT
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-8906
Mailing Address - Country:US
Mailing Address - Phone:317-839-8055
Mailing Address - Fax:317-839-8055
Practice Address - Street 1:7668 WIGMAKER CT
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-8906
Practice Address - Country:US
Practice Address - Phone:317-839-8055
Practice Address - Fax:317-839-8055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-06
Last Update Date:2008-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN53000105A252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency