Provider Demographics
NPI:1083860654
Name:DUNKER, SEAN JEREMY (DPT)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:JEREMY
Last Name:DUNKER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 SUGARLOAF PKWY
Mailing Address - Street 2:SUITE G-02
Mailing Address - City:URBANA
Mailing Address - State:MD
Mailing Address - Zip Code:21704-7910
Mailing Address - Country:US
Mailing Address - Phone:301-874-9200
Mailing Address - Fax:301-874-9202
Practice Address - Street 1:3510 SUGARLOAF PKWY
Practice Address - Street 2:SUITE G-02
Practice Address - City:URBANA
Practice Address - State:MD
Practice Address - Zip Code:21704-7910
Practice Address - Country:US
Practice Address - Phone:301-874-9200
Practice Address - Fax:301-874-9202
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22638225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist