SearchWisconsinPhysical Therapy Assistant

Dawn Hannon, PTA

NPI 1902178890 · on the registry since 2012 · sole proprietor

Practice

Address
1519 60th Street
Kenosha, WI 53140
Phone
(262) 656-7500
Fax
(262) 656-7500
Organisation at this address
Midway Manor Corp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin