Moulton, Dawn

Moulton, Dawn is an individual health care provider with primary practice located at 39 N 25Th St E , Superior WI 54880-5269. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Moulton, Dawn can be contacted via phone (763) 689-5385.

Contact Information

Primary practice address
39 N 25Th St E Superior WI 54880-5269
Phone: (763) 689-5385
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5635 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1869 Minnesota

Profile Details

NPI number 1104918416
LBN Legal business name Moulton, Dawn
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104918416 NPPES
Minnesota Other 6411503 MEDICA
Minnesota MEDICAID 41810700 MEDICA
Minnesota Other HP25224 MEDICA
Minnesota Other 15D94MO MEDICA

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