Provider Demographics
NPI:1740313659
Name:GESSNER, DAWN MARIE (OTR)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:MARIE
Last Name:GESSNER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 N HOLLY AVE
Mailing Address - Street 2:#6
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-4347
Mailing Address - Country:US
Mailing Address - Phone:520-327-0287
Mailing Address - Fax:
Practice Address - Street 1:1031 N HOLLY AVE UNIT 6
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-4347
Practice Address - Country:US
Practice Address - Phone:520-327-0287
Practice Address - Fax:520-225-1526
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1944225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist