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NPI Code Detail

MEDICARE: MR. ANDREW DUNTON OTR/L

MEDICARE: MR. ANDREW DUNTON OTR/L
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
1225X00000XOccupational Therapist121446TX

General Provider Information

NPI Number : 1528653011
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDREW DUNTON OTR/L
Provider Business Mailing Address
First Line : 2010 WOODLAND HAVEN RD
Second Line :
City : HOUSTON
State : TX
Zip : 77062-4748
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 133 WINDY MEADOWS DR
Second Line :
City : SCHERTZ
State : TX
Zip : 78154-1539
Country : US
Telephone Number : 210-858-9062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2021
Last Update Date : 03/05/2021

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