# DAWN MAUREEN TAN CLAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760794325
- **Gender:** F
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 070019095 | IL | Yes |
| 225100000X | Physical Therapist | 8218 | CT | — |
| 225100000X | Physical Therapist | PT009885 | GA | — |

## Other

- **Enumeration date:** 07/11/2010
- **Last updated:** 04/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 070019095 | ILLINOIS STATE BOARD OF PHYSICAL THERAPY | IL |
| 01 | — | 8218 | CONNECTICUT STATE BOARD OF PHYSICAL THERAPY | CT |
| 01 | — | PT009885 | STATE BOARD OF PHYSICAL THERAPY | GA |