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NPI Code Detail

MEDICARE: HUNTER TAFT LEGER DPT

MEDICARE: HUNTER TAFT LEGER 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 Therapist11110AL

General Provider Information

NPI Number : 1548978307
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUNTER TAFT LEGER DPT
Provider Business Mailing Address
First Line : 4300 W MAIN ST STE 403
Second Line :
City : DOTHAN
State : AL
Zip : 36305-1314
Country : US
Telephone Number : 334-793-4788
Fax Number : 334-678-6717
Provider Business Practice Location Address
First Line : 4300 W MAIN ST STE 403
Second Line :
City : DOTHAN
State : AL
Zip : 36305-1314
Country : US
Telephone Number : 334-793-4788
Fax Number : 334-678-6717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2022
Last Update Date : 11/10/2022

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Directions to “ HUNTER TAFT LEGER DPT” Practice Location

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