Individual
CAROLYN DUNKELBERGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 WOODGLEN RD, POTTSVILLE, PA 17901-1335
(570) 622-6648
Mailing address
2655 WOODGLEN RD, POTTSVILLE, PA 17901-1335
(570) 622-6648
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016371
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632049
BLUE SHIELD
PA
01
—
3621877
AETNA
PA
01
—
50040656
CAPITAL
PA
Enumeration date
10/14/2005
Last updated
07/08/2007
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