Provider Demographics
NPI:1093940785
Name:DUNBAR, GABRIELLE ALEXIS (OT)
Entity Type:Individual
Prefix:MISS
First Name:GABRIELLE
Middle Name:ALEXIS
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10720 LINKWOOD CT
Mailing Address - Street 2:APT# 1134
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-2955
Mailing Address - Country:US
Mailing Address - Phone:504-289-4801
Mailing Address - Fax:
Practice Address - Street 1:10720 LINKWOOD CT
Practice Address - Street 2:APT# 1134
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-2955
Practice Address - Country:US
Practice Address - Phone:504-289-4801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-25
Last Update Date:2009-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.200051225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist