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NPI Code Detail

MEDICARE: ANDREA L DUNN PT

MEDICARE: ANDREA L DUNN PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist6934AZ

General Provider Information

NPI Number : 1093797805
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA L DUNN PT
Provider Business Mailing Address
First Line : 5320 E SHEA BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-4793
Country : US
Telephone Number : 480-596-6999
Fax Number : 480-596-9555
Provider Business Practice Location Address
First Line : 19636 N 27TH AVE STE LL2
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-4022
Country : US
Telephone Number : 623-434-7775
Fax Number : 480-596-9555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 04/27/2011

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Directions to “ ANDREA L DUNN PT” Practice Location

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