Healthcare Provider Details
I. General information
NPI: 1023048709
Provider Name (Legal Business Name): DAWN TAMMY SNOW DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 09/15/2022
Certification Date: 09/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13048 RIVERS BEND RD
CHESTER VA
23836-2564
US
IV. Provider business mailing address
350 NEW FIDELITY CT
GARNER NC
27529-2665
US
V. Phone/Fax
- Phone: 804-530-3330
- Fax: 804-530-9998
- Phone: 919-373-2919
- Fax: 410-648-4878
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 2305204233 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: