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Individual

DAWN M STANDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
16390 HIGHWAY 72, ROGERSVILLE, AL 35652-8103
(256) 247-1708
(256) 247-5798
Mailing address
199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
(256) 247-1708
(256) 247-5798

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
01853
MO
225100000X
Physical Therapist
Primary
PTH8745
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000025407
MEDICARE PTAN
MO
05
483367413
MO
Enumeration date
04/26/2006
Last updated
04/30/2019
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