MEDICARE: MRS. DAWN SCHRAMM ATC

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	2255A2300X	Athletic Trainer	RT001645A	PA

General Provider Information

NPI Number	:	1326049594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DAWN SCHRAMM ATC

Provider Business Mailing Address
First Line	:	896 WELLS RD
Second Line	:
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-2635
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1098 W BALTIMORE PIKE
Second Line	:	OUTPATIENT PHYSICAL THERAPY
City	:	MEDIA
State	:	PA
Zip	:	19063-5139
Country	:	US
Telephone Number	:	610-891-3030
Fax Number	:	610-891-3035

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/08/2007

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