Individual provider · NPI-1

Dawn Allen-Bontrager

Physical Therapy Assistant · Richmond, VA

NPI number1801201744
StatusActive
Last updated in NPPESJun 30, 2014

Details

NPI
1801201744
Entity type
Individual (NPI-1)
Name
Mrs. Dawn Allen-Bontrager
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 30, 2014
Last updated
Jun 30, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2306603804VAYes

Practice location

500 Masonic Ln
Richmond, VA 23223-5557

Phone 804-222-1694

Mailing address

500 Masonic Ln
Richmond, VA 23223-5557

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