Provider Demographics
NPI:1710139985
Name:HUNT, MARY LOUISE (MSPT)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:LOUISE
Last Name:HUNT
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 EAST AVE
Mailing Address - Street 2:APT. 1R
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-2443
Mailing Address - Country:US
Mailing Address - Phone:914-833-1473
Mailing Address - Fax:914-833-1473
Practice Address - Street 1:7 EAST AVE
Practice Address - Street 2:APT. 1R
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-2443
Practice Address - Country:US
Practice Address - Phone:914-833-1473
Practice Address - Fax:914-833-1473
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-18
Last Update Date:2008-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007688-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics