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NPI Code Detail

MEDICARE: BARBARA J. HUTCHINSON PTA

MEDICARE: BARBARA J. HUTCHINSON PTA
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
1225200000XPhysical Therapy Assistant309-19WI

General Provider Information

NPI Number : 1841595519
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA J. HUTCHINSON PTA
Provider Business Mailing Address
First Line : 1505 ORRIN RD
Second Line :
City : PRESCOTT
State : WI
Zip : 54021-1074
Country : US
Telephone Number : 715-262-1107
Fax Number :
Provider Business Practice Location Address
First Line : 1505 ORRIN RD
Second Line :
City : PRESCOTT
State : WI
Zip : 54021-1074
Country : US
Telephone Number : 715-262-1107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2011
Last Update Date : 01/11/2011

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