Most Relevant Information
Provider Data
NPI Number: | 1003176439 |
Provider Name: | DAWN NEWSOME |
Entity Type: | Individual |
Taxonomy Code: | 225200000X |
Specialty: | Physical Therapy Assistant |
License Number: | 1508-19 |
Most Important Dates
Enumeration Date: | 05/18/2012 |
Last Updated: | 05/18/2012 |
Provider Practice Location
125 BYRD AVE
NEENAH
WI
549564015
Practice Location Phone/Fax
Phone: | 9207257869 |
Fax: |
Provider Mailing Location
125 BYRD AVE
NEENAH
WI
549564015
Provider Mailing Phone/Fax
Phone: | 9207257869 |
Fax: |