Provider Demographics
NPI:1518199157
Name:DUNLOP, FLORENCE (OTR)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:
Last Name:DUNLOP
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11701 PARK LN S
Mailing Address - Street 2:APT C6C
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1014
Mailing Address - Country:US
Mailing Address - Phone:718-809-5416
Mailing Address - Fax:
Practice Address - Street 1:11701 PARK LN S
Practice Address - Street 2:APT C6C
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-1014
Practice Address - Country:US
Practice Address - Phone:718-809-5416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-16
Last Update Date:2009-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002513-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics