MEDICARE: DR. DAWN JAMES PT, DPT, DSC

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	2251P0200X	Pediatric Physical Therapist	4978	AR

General Provider Information

NPI Number	:	1710609383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAWN JAMES PT, DPT, DSC

Provider Business Mailing Address
First Line	:	6105 RED CEDAR CIR
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72916-8845
Country	:	US
Telephone Number	:	626-831-3979
Fax Number	:

Provider Business Practice Location Address
First Line	:	6105 RED CEDAR CIR
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72916-8845
Country	:	US
Telephone Number	:	626-831-3979
Fax Number	:

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

Provider Enumeration Date	:	09/12/2022
Last Update Date	:	09/12/2022

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