Provider Demographics
NPI:1104941681
Name:DUNN, JESSICA CORI (PT, MS)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:CORI
Last Name:DUNN
Suffix:
Gender:F
Credentials:PT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1424
Mailing Address - Country:US
Mailing Address - Phone:908-507-7377
Mailing Address - Fax:
Practice Address - Street 1:2005 US-22 WEST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08807
Practice Address - Country:US
Practice Address - Phone:732-868-8181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01075100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist