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Individual

DAWN RAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1650 MEDICAL LN, FORT MYERS, FL 33907-1116
(239) 277-9818
Mailing address
3851 GASPARILLA ST, ST JAMES CITY, FL 33956-2581

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9274
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y902L
BCBS PROVIDER NUMBER
FL
Enumeration date
03/19/2007
Last updated
07/08/2007
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