Provider Demographics
NPI:1528568904
Name:DUNN, AUSTIN GREGORY (DPT)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:GREGORY
Last Name:DUNN
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 1:130 AMICKS FERRY RD STE G
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-9400
Mailing Address - Country:US
Mailing Address - Phone:803-932-2176
Mailing Address - Fax:803-932-2657
Practice Address - Street 1:130 AMICKS FERRY RD STE G
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-9400
Practice Address - Country:US
Practice Address - Phone:803-932-2176
Practice Address - Fax:803-932-2657
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8990225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist