Provider Demographics
NPI:1306670179
Name:WHEELING, DAWSYN
Entity type:Individual
Prefix:
First Name:DAWSYN
Middle Name:
Last Name:WHEELING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 PERIMETER BLVD APT 113
Mailing Address - Street 2:
Mailing Address - City:SOUTH PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15129-5524
Mailing Address - Country:US
Mailing Address - Phone:814-795-2045
Mailing Address - Fax:
Practice Address - Street 1:1159 BAYBERRY DR
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-4992
Practice Address - Country:US
Practice Address - Phone:724-705-4311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT032497225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist