Individual
PATRICK DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
519 AVENIDA CESAR E CHAVEZ, KANSAS CITY, MO 64108-2133
(888) 913-1910
Mailing address
519 AVENIDA CESAR E CHAVEZ, KANSAS CITY, MO 64108-2133
(888) 913-1910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
10057
OR
225200000X
Physical Therapy Assistant
5502005544
MI
225200000X
Physical Therapy Assistant
A5728
MD
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXX
NA
MI
Enumeration date
03/03/2023
Last updated
08/10/2024
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