Mr Zackery C Dawson, PT | |
9500 Mentor Ave, Suite 210, Mentor, OH 44060-8713 | |
(440) 352-0934 | |
(440) 352-7562 |
Full Name | Mr Zackery C Dawson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 9500 Mentor Ave, Mentor, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780069468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT.015497 (Ohio) | Primary |
Provider Name | Lake Orthopaedic Associates, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942470174 PECOS PAC ID: 1052361771 Enrollment ID: O20050131000034 |
Mailing Address | Practice Location Address |
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Mr Zackery C Dawson, PT 5340 Royalton Rd, N Royalton, OH 44133-4008 Ph: (440) 230-1133 | Mr Zackery C Dawson, PT 9500 Mentor Ave, Suite 210, Mentor, OH 44060-8713 Ph: (440) 352-0934 |
Leigh Alexander, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8836 Tyler Blvd, Mentor, OH 44060 Phone: 440-255-9553 Fax: 440-255-9563 | |
Ryan C Tedrick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8358 Munson Rd, Mentor, OH 44060 Phone: 440-255-2009 Fax: 440-255-9050 | |
Gregory C. Morris, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 6000 Heisley Rd, Mentor, OH 44060 Phone: 440-357-6677 Fax: 440-357-6681 | |
Daniel Price, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7257 Center St, Mentor, OH 44060 Phone: 440-740-8877 | |
Mr. John Alan Craigo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7230 Mentor Ave, Mentor, OH 44060 Phone: 440-946-5858 Fax: 440-918-4870 | |
Tudor Home Therapies, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8836 Tyler Blvd, Mentor, OH 44060 Phone: 440-255-9553 Fax: 440-255-9563 | |
Mrs. Molly Ann Stevens, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8500 Station St # 255, Mentor, OH 44060 Phone: 440-725-0703 |