Provider Demographics
NPI:1386921856
Name:DOTSON, DEBRA DAWN (PT)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:DAWN
Last Name:DOTSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14910 N WOODSIDE LN
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99217-9210
Mailing Address - Country:US
Mailing Address - Phone:509-389-4430
Mailing Address - Fax:
Practice Address - Street 1:14910 N WOODSIDE LN
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99217-9210
Practice Address - Country:US
Practice Address - Phone:509-389-4430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009884225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist