Individual
DAWN ELAINE NILSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
555 SPRINGBROOK DR, MEDINA, OH 44256-3651
(330) 725-3393
Mailing address
555 SPRINGBROOK DR, MEDINA, OH 44256-3651
(330) 725-3393
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00694
OH
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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