Provider Demographics
NPI:1821391921
Name:DUNN, ANNETTE F (RPT)
Entity Type:Individual
Prefix:MISS
First Name:ANNETTE
Middle Name:F
Last Name:DUNN
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 WOODLAND ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-2325
Mailing Address - Country:US
Mailing Address - Phone:860-522-2717
Mailing Address - Fax:860-240-7605
Practice Address - Street 1:36 WOODLAND ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-2325
Practice Address - Country:US
Practice Address - Phone:860-522-2717
Practice Address - Fax:860-240-7605
Is Sole Proprietor?:No
Enumeration Date:2010-12-10
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003808225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist