Individual
MS. DAWN R LIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
33.019357
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33.19357
STATE MEDICAL BD - MASSAGE THERAPY
OH
Enumeration date
09/24/2012
Last updated
09/24/2012
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