Provider Demographics
NPI:1144577271
Name:DAWSON, ALLYN A (RPT)
Entity type:Individual
Prefix:
First Name:ALLYN
Middle Name:A
Last Name:DAWSON
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 BIRCHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-2271
Mailing Address - Country:US
Mailing Address - Phone:619-303-1459
Mailing Address - Fax:
Practice Address - Street 1:1410 BIRCHWOOD LN
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-2271
Practice Address - Country:US
Practice Address - Phone:619-303-1459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1387002225100000X
CA36416225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist