Provider Demographics
NPI:1669547840
Name:DAWSON, MARIE E (OT)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:E
Last Name:DAWSON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MRS
Other - First Name:MARIE
Other - Middle Name:E
Other - Last Name:MANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:1 MCGARITY RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-9485
Mailing Address - Country:US
Mailing Address - Phone:770-360-9183
Mailing Address - Fax:770-360-8965
Practice Address - Street 1:1 MCGARITY RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-9485
Practice Address - Country:US
Practice Address - Phone:770-360-9183
Practice Address - Fax:770-360-8965
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT000185225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist