MEDICARE: EMILY BROWN DUNLAP 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
1	261QP2000X	Physical Therapy Clinic/Center	1167653	TX

General Provider Information

NPI Number	:	1063581940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY BROWN DUNLAP PT

Provider Business Mailing Address
First Line	:	3108 CREEKS EDGE PKWY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78733-6335
Country	:	US
Telephone Number	:	512-402-9953
Fax Number	:

Provider Business Practice Location Address
First Line	:	1927 LOHMANS CROSSING RD
Second Line	:
City	:	LAKEWAY
State	:	TX
Zip	:	78734-5239
Country	:	US
Telephone Number	:	512-261-0620
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	11/20/2007

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