Provider Demographics
NPI:1053966671
Name:FABBRI DUNN, DEIDRA ROSEMARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:DEIDRA
Middle Name:ROSEMARIE
Last Name:FABBRI DUNN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:DEIDRA
Other - Middle Name:ROSEMARIE
Other - Last Name:FABBRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2122 YORK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1925
Mailing Address - Country:US
Mailing Address - Phone:630-575-1980
Mailing Address - Fax:630-928-5080
Practice Address - Street 1:6848 WHITESTOWN PKWY. STE. 200
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268
Practice Address - Country:US
Practice Address - Phone:317-396-0870
Practice Address - Fax:317-559-6369
Is Sole Proprietor?:No
Enumeration Date:2019-08-09
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05013467A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist