Provider Demographics
NPI:1730149386
Name:THURNHERR, DAWN M (PT, MS, OCS)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:THURNHERR
Suffix:
Gender:F
Credentials:PT, MS, OCS
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Mailing Address - Street 1:3635 LAKEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-6165
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14318 ROUTE 62
Practice Address - Street 2:
Practice Address - City:COLLINS
Practice Address - State:NY
Practice Address - Zip Code:14034-9788
Practice Address - Country:US
Practice Address - Phone:716-532-8129
Practice Address - Fax:716-532-9201
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY016295-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11516201OtherCAQH
NYRA1849Medicare PIN