Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 5987 | NC |
N | 2251C2600X | Cardiopulmonary | 5987 | NC |
Y | 2251N0400X | Physical Therapist - Neurology | 5987 | NC |
N | 2251X0800X | Physical Therapist - Orthopedic | 5987 | NC |
NPI | 1720205164 |
---|---|
Provider Name | Nancy Hunter Hosterman |
First Address | Hickory, NC 28601-1649 |
Second Address | Hickory, NC 28601-5046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 13/09/2007 |