Provider Demographics
NPI:1902159288
Name:DUNKLEY, ELIZABETH (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:DUNKLEY
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 1:206 GLEN ST
Mailing Address - Street 2:SUITE #52
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-3584
Mailing Address - Country:US
Mailing Address - Phone:518-538-8778
Mailing Address - Fax:518-636-3204
Practice Address - Street 1:206 GLEN ST
Practice Address - Street 2:SUITE #52
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-3584
Practice Address - Country:US
Practice Address - Phone:518-538-8778
Practice Address - Fax:518-636-3204
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033006-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist