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NPI Code Detail

MEDICARE: MADELYN MARIE DULLEA PT, DPT

MEDICARE: MADELYN MARIE DULLEA PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist13233SC

General Provider Information

NPI Number : 1003769027
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELYN MARIE DULLEA PT, DPT
Provider Business Mailing Address
First Line : 85C VINCENT DR
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-4030
Country : US
Telephone Number : 843-822-2292
Fax Number : 888-588-3421
Provider Business Practice Location Address
First Line : 85C VINCENT DR
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-4030
Country : US
Telephone Number : 843-822-2292
Fax Number : 888-588-3421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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