Dawn Marie Collman VI
Individual provider Active NPI Developmental Therapist · Freeport, IL
NPI 1457570830 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457570830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 4259 German Valley Rd
Freeport, IL 61032-9604 - Phone
- (815) 362-2303
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
4259 German Valley Rd
Freeport, IL 61032-9604
Mailing address
4259 German Valley Rd
Freeport, IL 61032-9604
Phone (815) 362-2303
Other providers in Freeport, IL
- Tracy Clay
- Kathleen Marie Ehlbeck Coe
- Brigitte Coglianese
- Martrice Collier
- Shaneka Collier
- Nicholas Cone
- Mary Conway
- John C Cook
- Patricia Ann Cook
- Ivory D Cooley
All providers in Freeport, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.