Healthcare Provider Details

I. General information

NPI: 1124566369
Provider Name (Legal Business Name): AMANDA DUNN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA AKRIDGE

II. Dates (important events)

Enumeration Date: 02/08/2017
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 BOATNER RD
EGLIN AFB FL
32542-1302
US

IV. Provider business mailing address

2417 ROBERTS DR
NICEVILLE FL
32578-2321
US

V. Phone/Fax

Practice location:
  • Phone: 850-883-8313
  • Fax:
Mailing address:
  • Phone: 828-553-4813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberP16923
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP16923
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: