Provider Demographics
NPI:1194933523
Name:SANDALCIDI, DAWN SUZANNE (PT, RCMT, BCB-PMD)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:SUZANNE
Last Name:SANDALCIDI
Suffix:
Gender:F
Credentials:PT, RCMT, BCB-PMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3989 E ARAPAHOE ROAD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-7044
Mailing Address - Country:US
Mailing Address - Phone:303-740-2026
Mailing Address - Fax:303-770-5459
Practice Address - Street 1:3989 E ARAPAHOE ROAD
Practice Address - Street 2:SUITE 120
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-7044
Practice Address - Country:US
Practice Address - Phone:303-740-2026
Practice Address - Fax:303-770-5459
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2071174400000X
CO002071225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist