MEDICARE: BRIA DUNN

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	225100000X	Physical Therapist	P18223	NC

General Provider Information

NPI Number	:	1487139911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIA DUNN

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 300
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-2944
Country	:	US
Telephone Number	:	423-682-8840
Fax Number	:	423-602-2028

Provider Business Practice Location Address
First Line	:	2230 PARK RD STE 104
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-6664
Country	:	US
Telephone Number	:	704-919-1280
Fax Number	:	704-919-0580

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

Provider Enumeration Date	:	10/01/2018
Last Update Date	:	10/01/2018

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Directions to “ BRIA DUNN ” Practice Location

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