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NPI Code Detail

MEDICARE: MELINDA HULL PT

MEDICARE: MELINDA HULL 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 Therapist1006WV

General Provider Information

NPI Number : 1619379088
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA HULL PT
Provider Business Mailing Address
First Line : 208 OLD MILL RD
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-9219
Country : US
Telephone Number : 304-263-5680
Fax Number : 304-267-1532
Provider Business Practice Location Address
First Line : 208 OLD MILL RD
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-9219
Country : US
Telephone Number : 304-263-5680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2014
Last Update Date : 04/07/2022

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