| NPI | 1598040206 |
|---|---|
| Former Name | DAWN STACEY O'BRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 007890-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE009150) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2012-04-23 |