Most Relevant Information
Provider Data
| NPI Number: | 1003044454 |
| Provider Name: | JUSTIN DUNAWAY PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 8517PT |
Most Important Dates
| Enumeration Date: | 06/24/2009 |
| Last Updated: | 09/01/2011 |
Provider Practice Location
6632 E BASELINE RD
SUITE 102
MESA
AZ
852064426
Practice Location Phone/Fax
| Phone: | 4802220655 |
| Fax: | 4802221457 |
Provider Mailing Location
PO BOX 269084
OKLAHOMA CITY
OK
731269084
Provider Mailing Phone/Fax
| Phone: | 6233988072 |
| Fax: | 6233988235 |