Willis, Dawn Annette
Willis, Dawn Annette is an sole proprietor health care provider with primary practice located at 9020 Country Downs Cv , Cordova TN 38016-8473. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Willis, Dawn Annette can be contacted via phone (901) 382-6383.Contact Information
Primary practice address
9020 Country Downs Cv
Cordova TN 38016-8473
Phone: (901) 382-6383
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT0000001276 | Tennessee |
Profile Details
NPI number | 1629379813 |
---|---|
LBN Legal business name | Willis, Dawn Annette |
Credentials | Registered Occupational Therapist (OTR) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 4th, 2010 |
Last updated | Nov 4th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629379813 | NPPES |
Tennessee | Other | OT0000001276 | STATE LICENSURE NUMBER |
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