Individual
DAWN NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 BYRD AVE, NEENAH, WI 54956-4015
(920) 725-7869
Mailing address
125 BYRD AVE, NEENAH, WI 54956-4015
(920) 725-7869
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1508-19
WI
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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