Provider Demographics
NPI:1669775664
Name:WATKINS, DAWN CHRISTY (PTA)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:CHRISTY
Last Name:WATKINS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 PENNY LN
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-6010
Mailing Address - Country:US
Mailing Address - Phone:831-724-8235
Mailing Address - Fax:831-724-9099
Practice Address - Street 1:15 PENNY LN
Practice Address - Street 2:SUITE 4
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-6010
Practice Address - Country:US
Practice Address - Phone:831-724-8235
Practice Address - Fax:831-724-9099
Is Sole Proprietor?:No
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT4709225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant