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NPI Code Detail

MEDICARE: LUIS D REVELES PT

MEDICARE: LUIS D REVELES 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 Therapist7897NC

General Provider Information

NPI Number : 1588811962
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS D REVELES PT
Provider Business Mailing Address
First Line : 101 MANNING DR
Second Line : DEPT OF PHYSICAL THERAPY
City : CHAPEL HILL
State : NC
Zip : 27514-4220
Country : US
Telephone Number : 919-966-1186
Fax Number : 919-966-0348
Provider Business Practice Location Address
First Line : 101 MANNING DR
Second Line : DEPT OF PHYSICAL THERAPY
City : CHAPEL HILL
State : NC
Zip : 27514-4220
Country : US
Telephone Number : 919-966-1186
Fax Number : 919-966-0348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2008
Last Update Date : 12/14/2025

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Directions to “ LUIS D REVELES PT” Practice Location

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