Provider Demographics
NPI:1427178656
Name:MORSE, DAWN IVERNE (PT)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:IVERNE
Last Name:MORSE
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 1:31 OREGON ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-1748
Mailing Address - Country:US
Mailing Address - Phone:864-235-9930
Mailing Address - Fax:
Practice Address - Street 1:1834 SALLY HILL FARMS BVLD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501
Practice Address - Country:US
Practice Address - Phone:877-417-9507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1584225100000X
NE1624225100000X
MT985225100000X
ND1010225100000X
WI4985-24225100000X
GA5080225100000X
NCP7433225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist