MRS. Dawn M Bazan, MS,OTR/L

NPI #1275733032 in Ticonderoga, New York

Provider Information

NPI Number: 1275733032
Entity Type: Individual
Name: MRS. Dawn M Bazan, MS,OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MS,OTR/L
Enumeration Date: Jul 20, 2007
Last Updated: Jun 12, 2008

Practice Location

Address: 106 MONTCALM ST
Address 2: NORTHWOODS WELLNESS PHYSICAL & OCCUPATIONAL THERAPY
City: Ticonderoga
State: New York
ZIP Code: 12883-1353
Phone: (518) 585-9285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X	Primary

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Organizations

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