Provider Demographics
NPI:1679933915
Name:SUAREZ, TONYA DUNBAR (OTR/L)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:DUNBAR
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8047 MIKE MUNDIE LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-5913
Mailing Address - Country:US
Mailing Address - Phone:804-901-2216
Mailing Address - Fax:
Practice Address - Street 1:8047 MIKE MUNDIE LN
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-5913
Practice Address - Country:US
Practice Address - Phone:804-901-2216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-29
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005629225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist