MEDICARE: DAWN RENEE SEIGNEUR 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
1	225100000X	Physical Therapist	5501017551	MI
2	225100000X	Physical Therapist	PT003038	OH

General Provider Information

NPI Number	:	1164888012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN RENEE SEIGNEUR PT

Provider Business Mailing Address
First Line	:	625 ENTERPRISE DR
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-8813
Country	:	US
Telephone Number	:	630-575-1932
Fax Number	:	630-928-5032

Provider Business Practice Location Address
First Line	:	4925 JACKMAN RD STE 34
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43613-3574
Country	:	US
Telephone Number	:	567-318-1000
Fax Number	:	567-318-1001

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

Provider Enumeration Date	:	01/07/2016
Last Update Date	:	07/21/2022

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Directions to “ DAWN RENEE SEIGNEUR PT” Practice Location

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