Provider Demographics
NPI:1306645528
Name:DUNHAM, ROLAUN HOSEA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ROLAUN
Middle Name:HOSEA
Last Name:DUNHAM
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:573 N 167TH DR
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-6224
Mailing Address - Country:US
Mailing Address - Phone:209-996-6085
Mailing Address - Fax:
Practice Address - Street 1:573 N 167TH DR
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-6224
Practice Address - Country:US
Practice Address - Phone:209-996-6085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA303325225100000X
AZ33090225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist