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NPI Code Detail

MEDICARE: DAWN ROSS

MEDICARE: DAWN ROSS
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
1224Z00000XOccupational Therapy Assistant1469OK
2224Z00000XOccupational Therapy AssistantOTA.0000536CO

General Provider Information

NPI Number : 1649672296
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN ROSS
Provider Business Mailing Address
First Line : 6409 S 33RD WEST AVE APT 2223
Second Line :
City : TULSA
State : OK
Zip : 74132-1522
Country : US
Telephone Number : 918-906-5090
Fax Number :
Provider Business Practice Location Address
First Line : 1310 E CLEVELAND AVE
Second Line :
City : SAPULPA
State : OK
Zip : 74066-4829
Country : US
Telephone Number : 918-224-2578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2014
Last Update Date : 09/25/2014

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Directions to “ DAWN ROSS ” Practice Location

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