MEDICARE: MARY ELIZABETH HUNT MOTR/L

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	225X00000X	Occupational Therapist	6750	NC

General Provider Information

NPI Number	:	1629313721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ELIZABETH HUNT MOTR/L

Provider Business Mailing Address
First Line	:	1811 ARNOLD DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-3809
Country	:	US
Telephone Number	:	585-233-0506
Fax Number	:

Provider Business Practice Location Address
First Line	:	1811 ARNOLD DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-3809
Country	:	US
Telephone Number	:	585-233-0506
Fax Number	:

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

Provider Enumeration Date	:	11/30/2012
Last Update Date	:	11/02/2022

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