MEDICARE: SCOTT HUNSAKER 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
1	225100000X	Physical Therapist	PT 20982	CA

General Provider Information

NPI Number	:	1497752000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT HUNSAKER PT

Provider Business Mailing Address
First Line	:	2275 S MAIN ST STE 102
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-5303
Country	:	US
Telephone Number	:	951-273-7742
Fax Number	:	951-273-7747

Provider Business Practice Location Address
First Line	:	2275 S MAIN ST STE 102
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-5303
Country	:	US
Telephone Number	:	951-736-5646
Fax Number	:	951-736-5694

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

Provider Enumeration Date	:	06/29/2005
Last Update Date	:	01/26/2021

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