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NPI Code Detail

MEDICARE: MR. RUI HU PT

MEDICARE: MR. RUI HU 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 Therapist11845NC
22251P0200XPediatric Physical Therapist11845NC

General Provider Information

NPI Number : 1063665958
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RUI HU PT
Provider Business Mailing Address
First Line : 507 WAKEFIELD DR APT C
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-3148
Country : US
Telephone Number : 919-745-7236
Fax Number : 704-285-8110
Provider Business Practice Location Address
First Line : 507 WAKEFIELD DR APT C
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-3148
Country : US
Telephone Number : 919-745-7236
Fax Number : 704-285-8110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2008
Last Update Date : 02/25/2020

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