Individual
MIRANDA DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
191 SWANSON AVE STE 102, LAKE HAVASU CITY, AZ 86403-6699
(928) 855-7880
Mailing address
2920 YUMA DR, LAKE HAVASU CITY, AZ 86406-8550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-30211
AZ
Other
Enumeration date
08/29/2018
Last updated
01/11/2021
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