MEDICARE: ANDREW THOMAS HUTCHINS PT, DPT

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	2251X0800X	Orthopedic Physical Therapist	PT35195	FL

General Provider Information

NPI Number	:	1932743903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW THOMAS HUTCHINS PT, DPT

Provider Business Mailing Address
First Line	:	3947 ARDENNES ST
Second Line	:
City	:	FORT LIBERTY
State	:	NC
Zip	:	28310-8915
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 ROCK MERRITT AVENUE
Second Line	:
City	:	FORT LIBERTY
State	:	NC
Zip	:	28310-3062
Country	:	US
Telephone Number	:	910-907-6000
Fax Number	:

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

Provider Enumeration Date	:	11/04/2019
Last Update Date	:	07/15/2024

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