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NPI Code Detail

MEDICARE: ABIGAIL HERRON PT, DPT

MEDICARE: ABIGAIL HERRON PT, DPT
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 Therapist11384

General Provider Information

NPI Number : 1255064812
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL HERRON PT, DPT
Provider Business Mailing Address
First Line : 199 COOKS POND DR NE
Second Line :
City : LANCASTER
State : OH
Zip : 43130-1152
Country : US
Telephone Number : 614-915-6667
Fax Number :
Provider Business Practice Location Address
First Line : 2685 CELANESE RD STE 105
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-2994
Country : US
Telephone Number : 803-661-5033
Fax Number : 864-643-2327
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2022
Last Update Date : 07/25/2022

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