Doctor Name: | MS. DAWN M. ANDERSON-RANDALL |
NPI Number: | 1457449233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | 2003003706 |
Business Practice Address: | 1010 S Madison St Ste F Webb City, MO - 648702566 |
Business Phone Number: | 4176730600 |
Business Fax Number: | 4176730601 |
Mailing Address: | 5881 County Lane 277, CARL JUNCTION |
State: | MO |
Postal Code: | 648348205 |
Phone Number: | 4176231082 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2003003706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |