Provider Demographics
NPI:1023048709
Name:SNOW, DAWN TAMMY (DPT)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:TAMMY
Last Name:SNOW
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:TAMMY
Other - Last Name:VOROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:350 NEW FIDELITY CT
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2665
Mailing Address - Country:US
Mailing Address - Phone:919-373-2919
Mailing Address - Fax:410-648-4878
Practice Address - Street 1:13048 RIVERS BEND RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-2564
Practice Address - Country:US
Practice Address - Phone:804-530-3330
Practice Address - Fax:804-530-9998
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204233225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA194507OtherANTHEM
VA7208944OtherAETNA
VA10002763OtherOPTIMA
VA1023046709Medicaid
VA1023046709Medicaid
VA194507OtherANTHEM