Provider Demographics
NPI:1487807707
Name:PERRY, DAWN CATHERINE
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:CATHERINE
Last Name:PERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:CATHERINE
Other - Last Name:YOUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CTRS
Mailing Address - Street 1:3276 S MARGARETTE CT
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-2308
Mailing Address - Country:US
Mailing Address - Phone:734-818-3531
Mailing Address - Fax:
Practice Address - Street 1:3276 S MARGARETTE CT
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-2308
Practice Address - Country:US
Practice Address - Phone:734-818-3531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI41853225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist