Provider Demographics
NPI:1649297003
Name:DEPAOLI-DUNN, THERESA M (PT MS OCS)
Entity type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:M
Last Name:DEPAOLI-DUNN
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Gender:F
Credentials:PT MS OCS
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Mailing Address - Street 1:3701 NW CARY PARKWAY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513
Mailing Address - Country:US
Mailing Address - Phone:919-388-0111
Mailing Address - Fax:919-388-8668
Practice Address - Street 1:3701 NW CARY PARKWAY
Practice Address - Street 2:SUITE 301
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513
Practice Address - Country:US
Practice Address - Phone:919-388-0111
Practice Address - Fax:919-388-8668
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC6820225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6698159OtherGHI
NC836260OtherACN MPN UHC
NC1139HOtherBCBS
NC2047616OtherAETNA HMO
NC7210400Medicaid
NC5603358OtherAETNA PPO
NC1349287OtherACN MPN UHC
NC7210400Medicaid