Individual
MS. DAWN MARIE MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTRL
Contact information
Practice address
6508 GUNN HIGHWAY, INDEPENDENT LIVING INC, TAMPA, FL 33625-4022
(813) 963-6923
(813) 264-0768
Mailing address
6508 GUNN HIGHWAY, INDEPENDENT LIVING INC, TAMPA, FL 33625-4022
(813) 963-6923
(813) 264-0768
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10644501
CITRUS HMO
FL
01
—
355011
WELLCARE HMO
FL
01
—
Z053M
BCBS
FL
Enumeration date
01/11/2007
Last updated
07/08/2007
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