Provider Demographics
NPI:1932531472
Name:DAUNIS, ABIGAIL GORMAN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:GORMAN
Last Name:DAUNIS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:LYNN
Other - Last Name:GORMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1180 BEACON ST
Mailing Address - Street 2:STE 6C
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-3806
Mailing Address - Country:US
Mailing Address - Phone:617-730-5337
Mailing Address - Fax:617-730-5461
Practice Address - Street 1:34 WASHINGTON ST.
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481
Practice Address - Country:US
Practice Address - Phone:781-263-9993
Practice Address - Fax:781-263-9996
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
MA21088225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist