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:
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Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629379813 NPPES
Tennessee Other OT0000001276 STATE LICENSURE NUMBER

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