Provider Demographics
NPI:1194264564
Name:DUNLAP, MAUREEN (OTR/L)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4432 GATEWAY DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1030
Mailing Address - Country:US
Mailing Address - Phone:412-417-3112
Mailing Address - Fax:
Practice Address - Street 1:6 GARDEN CENTER DR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-1351
Practice Address - Country:US
Practice Address - Phone:724-832-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-18
Last Update Date:2017-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC001525L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist