Individual
MARY SUSAN DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10321 CHAMPION FARMS DR, LOUISVILLE, KY 40241-6129
(502) 899-9363
(502) 899-9365
Mailing address
10321 CHAMPION FARMS DR, LOUISVILLE, KY 40241-6129
(502) 899-9363
(502) 899-9365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003333
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000205603
ANTHEM
—
Enumeration date
09/27/2005
Last updated
05/12/2010
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