Provider Demographics
NPI:1609993385
Name:BOOKSHAR, DAWN NEFF (PT)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:NEFF
Last Name:BOOKSHAR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:ANNE
Other - Last Name:NEFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:13907 KNEISEL RD
Mailing Address - Street 2:
Mailing Address - City:VERMILION
Mailing Address - State:OH
Mailing Address - Zip Code:44089-9624
Mailing Address - Country:US
Mailing Address - Phone:440-370-4086
Mailing Address - Fax:
Practice Address - Street 1:33200 HEALTH CAMPUS BLVD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1481
Practice Address - Country:US
Practice Address - Phone:440-370-4086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT04389225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist