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Individual

MS. HOLLY HUNNICUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2418 BLUE RIDGE RD, SUITE 100, RALEIGH, NC 27607-6480
(919) 782-5954
(919) 859-9444
Mailing address
3528 WADE AVENUE, #139, RALEIGH, NC 27607-4048
(919) 782-5954
(919) 859-9444

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4042
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0781T
BLUE CROSS BLUE SHIELD
NC
01
184835
MEDCOST
NC
01
5947795
AETNA
NC
Enumeration date
01/24/2006
Last updated
07/08/2007
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