Provider Demographics
NPI:1538878061
Name:KLOIAN, DAWN REIBEL (OTR/L)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:REIBEL
Last Name:KLOIAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:SHERIE
Other - Last Name:REIBEL, WHITCOMB, LIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1633 E NIGHTINGALE LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-3203
Mailing Address - Country:US
Mailing Address - Phone:602-717-3635
Mailing Address - Fax:
Practice Address - Street 1:4929 S VAL VISTA DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-0664
Practice Address - Country:US
Practice Address - Phone:480-795-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-000814225XP0019X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation