Individual
DAWN ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 HOWARD ST, SAN ANGELO, TX 76901-1318
(325) 944-0561
Mailing address
58 PEBBLE STONE LN, PALM COAST, FL 32164-7475
(386) 986-9140
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
14697
FL
224Z00000X
Occupational Therapy Assistant
Primary
213553
TX
224Z00000X
Occupational Therapy Assistant
3789
SC
224Z00000X
Occupational Therapy Assistant
4474
AL
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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