Provider Demographics
NPI:1700867306
Name:NOTA, DAVID F (PT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:F
Last Name:NOTA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 667744
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28266-7744
Mailing Address - Country:US
Mailing Address - Phone:704-860-0569
Mailing Address - Fax:704-822-3189
Practice Address - Street 1:4221 TUCKASEEGEE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-2801
Practice Address - Country:US
Practice Address - Phone:704-392-4057
Practice Address - Fax:704-822-3189
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5342225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC63244OtherBCBS
NC5033641OtherAETNA