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NPI Code Detail

MEDICARE: DR. BRIANNA LYNN DAWSON PT, DPT

MEDICARE: DR. BRIANNA LYNN DAWSON PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist3814NV

General Provider Information

NPI Number : 1487133443
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIANNA LYNN DAWSON PT, DPT
Provider Business Mailing Address
First Line : 3787 PARIA CANYON ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8064
Country : US
Telephone Number : 702-334-0884
Fax Number :
Provider Business Practice Location Address
First Line : 3787 PARIA CANYON ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8064
Country : US
Telephone Number : 702-334-0884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2018
Last Update Date : 10/03/2023

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