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NPI Code Detail

MEDICARE: ABIGAIL W DOUEK PT

MEDICARE:   ABIGAIL W DOUEK  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 Therapist10118NC

General Provider Information

NPI Number : 1639128150
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL W DOUEK PT
Provider Business Mailing Address
First Line : 401 N WEST ST
Second Line : STE 121
City : RALEIGH
State : NC
Zip : 27603-1399
Country : US
Telephone Number : 919-520-3505
Fax Number :
Provider Business Practice Location Address
First Line : 401 N WEST ST
Second Line : STE 121
City : RALEIGH
State : NC
Zip : 27603-1399
Country : US
Telephone Number : 919-520-3505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 05/04/2017

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Directions to “ ABIGAIL W DOUEK PT” Practice Location

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