=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376309252
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HUNTER COTE
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/27/2024
-----------------------------------------------------
Last Update Date | 02/27/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 52 FARMALL DR
-----------------------------------------------------
City | HINESBURG
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05461-4480
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-482-2200
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 251 YORK POND RD
-----------------------------------------------------
City | MILAN
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03588-3119
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number | 040.0134684
-----------------------------------------------------
License Number State | VT
-----------------------------------------------------