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NPI Code Detail

MEDICARE: PATRICIA ADAMS DEMILIO P.T.

MEDICARE: PATRICIA ADAMS DEMILIO P.T.
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 Therapist01445NC

General Provider Information

NPI Number : 1992952980
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ADAMS DEMILIO P.T.
Provider Business Mailing Address
First Line : 680 S 4TH ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-2407
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 HAMPTON WOODS COMPLEX
Second Line :
City : JACKSON
State : NC
Zip : 27845-9503
Country : US
Telephone Number : 252-534-4521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2008
Last Update Date : 08/21/2008

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