Individual
JANE DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
516 LINCOLN ST, LAGRANGE, GA 30240-4347
(706) 884-3523
Mailing address
516 LINCOLN ST, LAGRANGE, GA 30240-4347
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT001606
GA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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