Provider Demographics
NPI:1497258602
Name:DUNSTAN, CHRISTOPHER GARY (OTR)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:GARY
Last Name:DUNSTAN
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264-0307
Mailing Address - Country:US
Mailing Address - Phone:603-236-6111
Mailing Address - Fax:
Practice Address - Street 1:144 NH ROUTE 175A
Practice Address - Street 2:
Practice Address - City:HOLDERNESS
Practice Address - State:NH
Practice Address - Zip Code:03245-5055
Practice Address - Country:US
Practice Address - Phone:603-481-0055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1545225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics