Individual
ERICA SUE DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
215 W EVANS AVE, PUEBLO, CO 81004-1820
(760) 207-8411
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014610
CO
Other
Enumeration date
06/14/2019
Last updated
06/19/2019
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