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NPI Code Detail

MEDICARE: DAWNA CARVER PT

MEDICARE: DAWNA CARVER PT
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 Therapist33607CA

General Provider Information

NPI Number : 1023406634
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWNA CARVER PT
Provider Business Mailing Address
First Line : 3412 BERETANIA WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-2548
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3400 ALTA ARDEN EXPY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-2103
Country : US
Telephone Number : 916-481-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2015
Last Update Date : 01/05/2015

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