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NPI Code Detail

MEDICARE: MINDY DREWETTE PT

MEDICARE:   MINDY  DREWETTE  PT
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 Therapist16115NC

General Provider Information

NPI Number : 1609235290
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINDY DREWETTE PT
Provider Business Mailing Address
First Line : 536 OLD HOWELL RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-1969
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3701 WADE COBLE DR
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-9743
Country : US
Telephone Number : 336-538-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2016
Last Update Date : 02/11/2016

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Directions to “ MINDY DREWETTE PT” Practice Location

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