Provider Demographics
NPI:1881865798
Name:DUNN, JOANNE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:
Last Name:DUNN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 FORSYTHIA RD
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-1779
Mailing Address - Country:US
Mailing Address - Phone:978-466-1818
Mailing Address - Fax:
Practice Address - Street 1:44 KEYSTONE DR
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-1904
Practice Address - Country:US
Practice Address - Phone:978-537-9327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3344225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant