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NPI Code Detail

MEDICARE: MCCALL DUBE PT, DPT

MEDICARE: MCCALL DUBE 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 Therapist2305215159VA
2225100000XPhysical TherapistCP027123TNC

General Provider Information

NPI Number : 1689302051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MCCALL DUBE PT, DPT
Provider Business Mailing Address
First Line : PO BOX 412313
Second Line :
City : BOSTON
State : MA
Zip : 02241-2313
Country : US
Telephone Number : 914-294-4050
Fax Number : 631-760-8306
Provider Business Practice Location Address
First Line : 500 VILLAGE WALK DR
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-4440
Country : US
Telephone Number : 919-258-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2022
Last Update Date : 03/03/2026

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