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Individual

GAYALYN J HURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
1129 E MARION ST, SHELBY, NC 28150-4843
(704) 471-0001
(704) 471-0004
Mailing address
1129 E MARION ST, SHELBY, NC 28150-4843
(704) 471-0001
(704) 471-0004

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3712
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14110
BC/BS
NC
Enumeration date
10/27/2006
Last updated
07/08/2007
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