Healthcare Provider Details

I. General information

NPI: 1194933523
Provider Name (Legal Business Name): DAWN SUZANNE SANDALCIDI PT, RCMT, BCB-PMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 09/15/2021
Certification Date: 09/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3989 E ARAPAHOE ROAD SUITE 120
CENTENNIAL CO
80122-7044
US

IV. Provider business mailing address

3989 E ARAPAHOE ROAD SUITE 120
CENTENNIAL CO
80122-7044
US

V. Phone/Fax

Practice location:
  • Phone: 303-740-2026
  • Fax: 303-770-5459
Mailing address:
  • Phone: 303-740-2026
  • Fax: 303-770-5459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number2071
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number002071
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: