Provider Demographics
NPI:1316064652
Name:BRANDEWIE, DAWN LORAINE (MS, PT)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:LORAINE
Last Name:BRANDEWIE
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
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Mailing Address - Street 1:15250 TANNER TRL
Mailing Address - Street 2:
Mailing Address - City:ELBERT
Mailing Address - State:CO
Mailing Address - Zip Code:80106-9002
Mailing Address - Country:US
Mailing Address - Phone:719-494-2480
Mailing Address - Fax:
Practice Address - Street 1:3701 SKYPARK DR STE 235
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4753
Practice Address - Country:US
Practice Address - Phone:310-791-7980
Practice Address - Fax:310-791-7995
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO9488225100000X
CA216942251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic