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NPI Code Detail

MEDICARE: OLIVIA DUNGAN

MEDICARE:   OLIVIA  DUNGAN
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
1225X00000XOccupational Therapist10504MD

General Provider Information

NPI Number : 1518822683
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA DUNGAN
Provider Business Mailing Address
First Line : 2001 BUTTERFIELD RD STE 1600
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8116 RITCHIE HWY
Second Line :
City : PASADENA
State : MD
Zip : 21122-6916
Country : US
Telephone Number : 443-261-2220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2025
Last Update Date : 12/31/2025

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Directions to “ OLIVIA DUNGAN ” Practice Location

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