Provider Demographics
NPI:1306408257
Name:DUNYAK, MARY AMANDA (DPT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:AMANDA
Last Name:DUNYAK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:2118 GREENSPRING DR
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2065
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2118 GREENSPRING DR
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-3112
Practice Address - Country:US
Practice Address - Phone:410-512-5820
Practice Address - Fax:410-512-5859
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD275522251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic