Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 661 | NC |
NPI | 1134331838 |
---|---|
Provider Name | Dr. Donna Kay Dawson |
First Address | Clarksville, VA 23927-4009 |
Second Address | Clarksville, VA 23927-4009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
#661 | PHYSICAL THERAPY LICENSE (01) | NC |