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NPI Code Detail

MEDICARE: MRS. MICHELLE SUZANNE BRINKER PT

MEDICARE: MRS. MICHELLE SUZANNE BRINKER 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 TherapistPT 9730OH
2225100000XPhysical TherapistPT 3726KY
3225100000XPhysical Therapist5787SC

General Provider Information

NPI Number : 1821288531
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE SUZANNE BRINKER PT
Provider Business Mailing Address
First Line : 43 MONTICELLO DR
Second Line :
City : HILTON HEAD
State : SC
Zip : 29926-1298
Country : US
Telephone Number : 859-916-5937
Fax Number :
Provider Business Practice Location Address
First Line : 801 LEMON GRASS CT
Second Line :
City : HILTON HEAD
State : SC
Zip : 29928-3022
Country : US
Telephone Number : 843-341-7309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2007
Last Update Date : 08/27/2009

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