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NPI Code Detail

MEDICARE: MS. DONNA MARIE HUNT PTA

MEDICARE: MS. DONNA MARIE HUNT PTA
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
1225200000XPhysical Therapy Assistant1747NC

General Provider Information

NPI Number : 1710146261
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA MARIE HUNT PTA
Provider Business Mailing Address
First Line : 304 JOSIE CT
Second Line :
City : HUBERT
State : NC
Zip : 28539-4526
Country : US
Telephone Number : 910-326-3791
Fax Number :
Provider Business Practice Location Address
First Line : 1839 ONSLOW DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-5906
Country : US
Telephone Number : 910-455-3610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2008
Last Update Date : 06/09/2008

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