MEDICARE: MRS. PAMELA K. SINGLETARY P. T.

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
1	225100000X	Physical Therapist	00503	LA

General Provider Information

NPI Number	:	1114999620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAMELA K. SINGLETARY P. T.

Provider Business Mailing Address
First Line	:	510 S COTTONWOOD ST
Second Line	:
City	:	BUNKIE
State	:	LA
Zip	:	71322-1135
Country	:	US
Telephone Number	:	318-346-2682
Fax Number	:	318-346-7315

Provider Business Practice Location Address
First Line	:	510 SOUTH COTTONWOOD ST.
Second Line	:
City	:	BUNKIE
State	:	LA
Zip	:	71322-0958
Country	:	US
Telephone Number	:	318-346-2682
Fax Number	:	318-346-7315

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	02/18/2009

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