Provider Demographics
NPI:1730606435
Name:DUNPHY, PATRICIA MCGREGOR (PT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MCGREGOR
Last Name:DUNPHY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 TINDALL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2722
Mailing Address - Country:US
Mailing Address - Phone:732-615-0300
Mailing Address - Fax:732-615-0533
Practice Address - Street 1:12 TINDALL RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2722
Practice Address - Country:US
Practice Address - Phone:732-615-0300
Practice Address - Fax:732-615-0533
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00090600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist