Healthcare Provider Details

I. General information

NPI: 1972408011
Provider Name (Legal Business Name): JADYN HUNTER
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2326 GODDARD PKWY STE D
SALISBURY MD
21801-1126
US

IV. Provider business mailing address

2326 GODDARD PKWY STE D
SALISBURY MD
21801-1126
US

V. Phone/Fax

Practice location:
  • Phone: 443-978-6020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberU1-0012903
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number10860
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: