Provider Demographics
NPI:1790995280
Name:DUNAR, GLORIANNA (PT)
Entity Type:Individual
Prefix:MRS
First Name:GLORIANNA
Middle Name:
Last Name:DUNAR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:GLORIANNA
Other - Middle Name:
Other - Last Name:DUNAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:41779 159TH ST E
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-7056
Mailing Address - Country:US
Mailing Address - Phone:661-264-1498
Mailing Address - Fax:
Practice Address - Street 1:43112 N 15TH ST W
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-6219
Practice Address - Country:US
Practice Address - Phone:661-726-2270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT9733225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist