Provider Demographics
NPI:1891079406
Name:DUNICK, TERA CHRISTINE (PT, DPT)
Entity type:Individual
Prefix:
First Name:TERA
Middle Name:CHRISTINE
Last Name:DUNICK
Suffix:
Gender:F
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 1:1200 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5292
Mailing Address - Country:US
Mailing Address - Phone:561-694-1243
Mailing Address - Fax:
Practice Address - Street 1:1200 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5292
Practice Address - Country:US
Practice Address - Phone:561-694-1243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26853225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist