Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 012837-1 | NY |
NPI | 1003072315 |
---|---|
Provider Name | Mrs. Dawn Christine Tobin-Holt |
First Address | Pearl River, NY 10965-1881 |
Second Address | Valley Cottage, NY 10989-2533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 06/08/2008 |