Kathleen Dunlap, DPT | |
2843 Missouri Ave, Saint Louis, MO 63118-1640 | |
(618) 540-8129 | |
Not Available |
Full Name | Kathleen Dunlap |
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Gender | Female |
Speciality | Physical Therapist |
Location | 2843 Missouri Ave, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780084822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2019011241 (Missouri) | Primary |
Provider Name | Missouri Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780265934 PECOS PAC ID: 1355750746 Enrollment ID: O20210517000174 |
Provider Name | Dunlap Physical Therapy And Wellness |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952131153 PECOS PAC ID: 7113452319 Enrollment ID: O20241125003284 |
Mailing Address | Practice Location Address |
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Kathleen Dunlap, DPT 2843 Missouri Ave, Saint Louis, MO 63118-1640 Ph: (618) 540-8129 | Kathleen Dunlap, DPT 2843 Missouri Ave, Saint Louis, MO 63118-1640 Ph: (618) 540-8129 |
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