Provider Demographics
NPI:1689408817
Name:DUNN, NINA ANNE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:NINA
Middle Name:ANNE
Last Name:DUNN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 PINELYNN RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452-2920
Mailing Address - Country:US
Mailing Address - Phone:201-414-3234
Mailing Address - Fax:
Practice Address - Street 1:251 ROCK RD STE 2A
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452-1797
Practice Address - Country:US
Practice Address - Phone:201-445-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02278000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist