Provider Demographics
NPI:1639761414
Name:DUMAY, ISAAC (LPTA)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:DUMAY
Suffix:
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 CHATHAM PINE PL
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4714
Mailing Address - Country:US
Mailing Address - Phone:786-374-5937
Mailing Address - Fax:
Practice Address - Street 1:1204 CHATHAM PINE PL
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4714
Practice Address - Country:US
Practice Address - Phone:786-374-5937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29646225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant