MEDICARE: DAWNE L SAUNDERS-ENRIGHT P.T.

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
1	225100000X	Physical Therapist	PT28041	CA

General Provider Information

NPI Number	:	1003879057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWNE L SAUNDERS-ENRIGHT P.T.

Provider Business Mailing Address
First Line	:	4445 EASTGATE MALL
Second Line	:	STE 105
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-1979
Country	:	US
Telephone Number	:	858-412-6080
Fax Number	:	858-412-6376

Provider Business Practice Location Address
First Line	:	4445 EASTGATE MALL
Second Line	:	STE 103
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-1979
Country	:	US
Telephone Number	:	858-450-7118
Fax Number	:	858-450-7119

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	06/21/2019

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