Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | PT18454 | FL |
NPI | 1396927273 |
---|---|
Provider Name | Shawn Eric Hunt |
First Address | Coral Gables, FL 33146-2435 |
Second Address | Coral Gables, FL 33146-2435 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2007 |
Last Update Date | 03/12/2007 |