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NPI Code Detail

MEDICARE: JOYCE ELAINE DUNN PTA

MEDICARE: JOYCE ELAINE DUNN PTA
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
1225200000XPhysical Therapy Assistant782NC

General Provider Information

NPI Number : 1790802023
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOYCE ELAINE DUNN PTA
Provider Business Mailing Address
First Line : 608 E 7TH ST
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-4563
Country : US
Telephone Number : 252-975-4395
Fax Number : 252-975-4112
Provider Business Practice Location Address
First Line : 1375 COWELL FARM RD
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3495
Country : US
Telephone Number : 252-975-4395
Fax Number : 252-975-4112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 07/08/2007

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