Provider Demographics
NPI:1548360126
Name:DUNWOODY, ROXANNE (PT, CHT)
Entity type:Individual
Prefix:
First Name:ROXANNE
Middle Name:
Last Name:DUNWOODY
Suffix:
Gender:F
Credentials:PT, CHT
Other - Prefix:
Other - First Name:ROXANNE
Other - Middle Name:
Other - Last Name:ROZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, CHT
Mailing Address - Street 1:622 HEBRON AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-2421
Mailing Address - Country:US
Mailing Address - Phone:860-527-7161
Mailing Address - Fax:860-652-8411
Practice Address - Street 1:622 HEBRON AVE STE 205
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-2421
Practice Address - Country:US
Practice Address - Phone:860-527-7161
Practice Address - Fax:860-652-8411
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251H1200X
CT00333372251H1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
650000946Medicare ID - Type Unspecified