National Provider Identifier

Dawn M Bergstresser, DPT

Dawn M Bergstresser, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Penn Yan, NY and a listed phone number of (315) 536-4051.

NPI 1205212669Penn Yan, NYPhysical Therapist

Profile Overview

NPI
1205212669
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 07, 2015
Last Updated
January 02, 2020

Practice Location

  • 207 1/2 Lake St
  • Penn Yan, NY 14527-1802

Phone: (315) 536-4051

Mailing Address

  • PO Box 725
  • Mendon, NY 14506-0725

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1205212669
Entity Type
Individual
Last Name
Bergstresser
First Name
Dawn
Middle Name
M
Credential
DPT
Provider Other Last Name
Sudol
Provider Other First Name
Dawn
Provider Other Middle Name
M
Provider Other Credential Text
DPT
Provider Other Last Name Type Code
1
Mailing Street Address
PO Box 725
Mailing City
Mendon
Mailing State
NY
Mailing ZIP Code
14506-0725
Mailing Country
US
Mailing Phone
(585) 851-9987
Mailing Fax
(585) 582-1128
Practice Street Address
207 1/2 Lake St
Practice City
Penn Yan
Practice State
NY
Practice ZIP Code
14527-1802
Practice Country
US
Practice Phone
(315) 536-4051
Enumeration Date
August 07, 2015
Last Updated
January 02, 2020
Sex
Female
Sole Proprietor
No
Certification Date
January 02, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)