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Individual

MRS. DIANE ELIZABETH HUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
215 E MAIN ST, STE. B, NORTHVILLE, MI 48167-1681
(248) 349-9339
(248) 349-9342
Mailing address
215 E MAIN ST, STE. B, NORTHVILLE, MI 48167-1681
(248) 349-9339
(248) 349-9342

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010976
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
650H242390
BLUE CROSS AND BLUE SHIELD
MI
Enumeration date
09/23/2008
Last updated
02/03/2009
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