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NPI Code Detail

MEDICARE: ANNETTE KUNTZ

MEDICARE:   ANNETTE  KUNTZ
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
1224Z00000XOccupational Therapy Assistant6327NC

General Provider Information

NPI Number : 1891028049
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE KUNTZ
Provider Business Mailing Address
First Line : 4435 PLEASANT HILL CHURCH RD
Second Line :
City : SILER CITY
State : NC
Zip : 27344-6879
Country : US
Telephone Number : 919-352-0658
Fax Number :
Provider Business Practice Location Address
First Line : 4435 PLEASANT HILL CHURCH RD
Second Line :
City : SILER CITY
State : NC
Zip : 27344-6879
Country : US
Telephone Number : 919-352-0658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2009
Last Update Date : 09/04/2009

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Directions to “ ANNETTE KUNTZ ” Practice Location

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