Provider Demographics
NPI:1730419946
Name:MCKAY, DAWN (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:
Last Name:MCKAY
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MS
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:ECKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:1198 W WYLIE AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-1634
Mailing Address - Country:US
Mailing Address - Phone:724-222-2148
Mailing Address - Fax:724-222-6530
Practice Address - Street 1:1198 W WYLIE AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-1634
Practice Address - Country:US
Practice Address - Phone:724-222-2148
Practice Address - Fax:724-222-6530
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA18624818224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant