Provider Demographics
NPI:1740435007
Name:ROSSI, DAWN MARIE (PTA)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:ROSSI
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10250 JAMESTOWN DR
Mailing Address - Street 2:#12
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-4418
Mailing Address - Country:US
Mailing Address - Phone:907-244-3895
Mailing Address - Fax:
Practice Address - Street 1:10250 JAMESTOWN DR
Practice Address - Street 2:#12
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-4418
Practice Address - Country:US
Practice Address - Phone:907-244-3895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-28
Last Update Date:2008-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1292225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant