Provider Demographics
NPI:1780620914
Name:KELLER-MALESKY, DAWN LEE (RRT)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:LEE
Last Name:KELLER-MALESKY
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1245 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6258
Mailing Address - Country:US
Mailing Address - Phone:610-439-2770
Mailing Address - Fax:610-439-5009
Practice Address - Street 1:1245 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6258
Practice Address - Country:US
Practice Address - Phone:610-439-2770
Practice Address - Fax:610-439-5009
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAYM001168L227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ43ZA00215800OtherRT-PRACTITIONER
PAYM001168LOtherRT-PRACTITIONER