Provider Demographics
NPI:1760787204
Name:DUNDAS, ANN MARIE ALLIANO (MSOT)
Entity Type:Individual
Prefix:MRS
First Name:ANN MARIE
Middle Name:ALLIANO
Last Name:DUNDAS
Suffix:
Gender:F
Credentials:MSOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 NW MAXINE CIR
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3727
Mailing Address - Country:US
Mailing Address - Phone:327-513-6953
Mailing Address - Fax:
Practice Address - Street 1:3405 NW MAXINE CIR
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3727
Practice Address - Country:US
Practice Address - Phone:327-513-6953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-13
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00446300225X00000X
OR231807225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist