Healthcare Provider Details

I. General information

NPI: 1811207244
Provider Name (Legal Business Name): CATHY R. DAHL PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2010
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 WALLER MILL RD
WILLIAMSBURG VA
23185-3000
US

IV. Provider business mailing address

109 AMBROSE HL
WILLIAMSBURG VA
23185-6556
US

V. Phone/Fax

Practice location:
  • Phone: 225-772-9476
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305204892
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: