Healthcare Provider Details

I. General information

NPI: 1306877089
Provider Name (Legal Business Name): PATRICIA E DUNN PT, OCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 02/18/2020
Certification Date: 02/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3276 WASHINGTON RD
PARLIN NJ
08859-1676
US

IV. Provider business mailing address

PO BOX 1014
CLARK NJ
07066-1014
US

V. Phone/Fax

Practice location:
  • Phone: 732-238-8484
  • Fax: 732-855-9755
Mailing address:
  • Phone: 732-855-9751
  • Fax: 732-855-9755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number40QA00266800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00266800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: