Jaylen Hiller, PT, DPT | |
10025 Rose Brook Ln Apt 303, Huntersville, NC 28078-3387 | |
(229) 292-2497 | |
Not Available |
Full Name | Jaylen Hiller |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 10025 Rose Brook Ln Apt 303, Huntersville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225813520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P21607 (North Carolina) | Primary |
Provider Name | Integrated Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326247248 PECOS PAC ID: 1153317300 Enrollment ID: O20150109002041 |
Mailing Address | Practice Location Address |
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Jaylen Hiller, PT, DPT 10025 Rose Brook Ln Apt 303, Huntersville, NC 28078-3387 Ph: (229) 292-2497 | Jaylen Hiller, PT, DPT 10025 Rose Brook Ln Apt 303, Huntersville, NC 28078-3387 Ph: (229) 292-2497 |
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Debra Myhr, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14330 Oakhill Park Ln Ste 115, Huntersville, NC 28078 Phone: 704-316-1265 Fax: 704-316-1266 | |
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