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NPI Code Detail

MEDICARE: MRS. DONNA ABBOTT PT

MEDICARE: MRS. DONNA ABBOTT 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 Therapist2305003946VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3650017802OTHERVARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15423096OTHERAETNA
2192965OTHERVABCBS PHYSICAL THERAPY
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154383255
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA ABBOTT PT
Provider Business Mailing Address
First Line : PO BOX 69030
Second Line :
City : BALTIMORE
State : MD
Zip : 21264-9030
Country : US
Telephone Number : 757-873-2302
Fax Number : 757-873-2306
Provider Business Practice Location Address
First Line : 9 MANHATTAN SQ STE B
Second Line :
City : HAMPTON
State : VA
Zip : 23666-6263
Country : US
Telephone Number : 757-825-3400
Fax Number : 757-825-0392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 04/12/2018

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