Individual
DR. DUSTIN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
111B SANDERS LN, BLUEFIELD, VA 24605-9278
(276) 326-3611
Mailing address
111B SANDERS LN, BLUEFIELD, VA 24605-9278
(276) 326-3611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210877
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006400
—
WV
Enumeration date
02/03/2017
Last updated
02/03/2017
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