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NPI Code Detail

MEDICARE: MR. BRYAN DUNHAM

MEDICARE: MR. BRYAN DUNHAM
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
1225100000XPhysical Therapist052869NY

General Provider Information

NPI Number : 1225977317
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRYAN DUNHAM
Provider Business Mailing Address
First Line : 99 DALE RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14625-2007
Country : US
Telephone Number : 585-545-1877
Fax Number :
Provider Business Practice Location Address
First Line : 99 DALE RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14625-2007
Country : US
Telephone Number : 585-545-1877
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ MR. BRYAN DUNHAM ” Practice Location

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