MEDICARE: MS. DAWN L CALDWELL OTR/L CHT

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	225XH1200X	Hand Occupational Therapist	5079	CA

General Provider Information

NPI Number	:	1376514323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAWN L CALDWELL OTR/L CHT

Provider Business Mailing Address
First Line	:	1325 FOUNTAIN ST
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94501-4869
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6635 DUBLIN BLVD
Second Line	:	STE E
City	:	DUBLIN
State	:	CA
Zip	:	94568-3000
Country	:	US
Telephone Number	:	925-803-0530
Fax Number	:

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

Provider Enumeration Date	:	01/29/2006
Last Update Date	:	07/08/2007

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