MEDICARE: RACHEL GILMORE DUNBAR P.T.

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	15366	MA

General Provider Information

NPI Number	:	1831288737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL GILMORE DUNBAR P.T.

Provider Business Mailing Address
First Line	:	108 NORTON AVE APT 12
Second Line	:
City	:	SOUTH EASTON
State	:	MA
Zip	:	02375-1256
Country	:	US
Telephone Number	:	508-297-0032
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 W CHESTNUT ST
Second Line	:
City	:	BROCKTON
State	:	MA
Zip	:	02301-7501
Country	:	US
Telephone Number	:	508-559-0473
Fax Number	:

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	12/02/2009

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