MEDICARE: MIRANDA DRUMMOND 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
1	225100000X	Physical Therapist	P23491	NC

General Provider Information

NPI Number	:	1518762111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRANDA DRUMMOND DPT

Provider Business Mailing Address
First Line	:	7724 CHAPEL HILL RD
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-6256
Country	:	US
Telephone Number	:	984-999-1101
Fax Number	:	984-244-2992

Provider Business Practice Location Address
First Line	:	7724 CHAPEL HILL RD
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-6256
Country	:	US
Telephone Number	:	984-999-1101
Fax Number	:	984-244-2992

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

Provider Enumeration Date	:	02/17/2025
Last Update Date	:	12/11/2025

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Directions to “ MIRANDA DRUMMOND DPT” Practice Location

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