Provider Demographics
NPI:1285060087
Name:DUNSTAN, ALAINA SANDRA (PTA)
Entity type:Individual
Prefix:MS
First Name:ALAINA
Middle Name:SANDRA
Last Name:DUNSTAN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 HENTHORNE DR APT B16
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2038
Mailing Address - Country:US
Mailing Address - Phone:561-290-9203
Mailing Address - Fax:
Practice Address - Street 1:220 HENTHORNE DR APT B16
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2038
Practice Address - Country:US
Practice Address - Phone:561-290-9203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA24233174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist