Doctor Name: | JUSTIN DUNAWAY |
NPI Number: | 1003044454 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 8517PT |
Business Practice Address: | 6632 E Baseline Rd Suite 102 Mesa, AZ - 852064426 |
Business Phone Number: | 4802220655 |
Business Fax Number: | 4802221457 |
Mailing Address: | Po Box 269084, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731269084 |
Phone Number: | 6233988072 |
Fax Number: | 6233988235 |
NPI Enumeration Date: | 06/24/2009 |
NPI Last Update Date: | 09/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8517PT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |