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Individual

ECHO DUNAWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
920 E AVENUE L, SILSBEE, TX 77656-5014
(409) 385-5571
Mailing address
914 RICHARDSON DR, JASPER, TX 75951-2810

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2128190
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43240506
DRIVERS LICENSE
TX
Enumeration date
09/09/2019
Last updated
09/09/2019
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