| NPI | 1629097795 |
|---|---|
| Former Name | DAWN E DIMITRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 29362) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 60120) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-03-21 |