Provider Demographics
NPI:1538612460
Name:DUNN, JOSEFINE (OT/R, CLT)
Entity type:Individual
Prefix:
First Name:JOSEFINE
Middle Name:
Last Name:DUNN
Suffix:
Gender:F
Credentials:OT/R, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13577 W 22ND PL
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-6800
Mailing Address - Country:US
Mailing Address - Phone:440-479-7502
Mailing Address - Fax:
Practice Address - Street 1:13577 W 22ND PL
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-6800
Practice Address - Country:US
Practice Address - Phone:440-479-7502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117202225X00000X
OR344719225X00000X
COOT.0004445225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist