Provider Demographics
NPI:1487807673
Name:NESTOR, DAWN MARIE (DPT)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:NESTOR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:MARIE
Other - Last Name:KROOHS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:7 VERPLANCK AVE
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-5152
Mailing Address - Country:US
Mailing Address - Phone:845-592-0199
Mailing Address - Fax:
Practice Address - Street 1:7 VERPLANCK AVE
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-5152
Practice Address - Country:US
Practice Address - Phone:845-592-0199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0254352251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics