Provider Demographics
NPI:1891246609
Name:DUNN, HUDSON MCEWEN (DPT)
Entity Type:Individual
Prefix:DR
First Name:HUDSON
Middle Name:MCEWEN
Last Name:DUNN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 WILTON AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-2645
Mailing Address - Country:US
Mailing Address - Phone:434-548-8478
Mailing Address - Fax:
Practice Address - Street 1:4829 RIVERSIDE DR STE A
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-5537
Practice Address - Country:US
Practice Address - Phone:434-548-8478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305208541225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist