Provider Demographics
NPI:1174079644
Name:DEWITT, ABBIE MARRALE (PT)
Entity type:Individual
Prefix:
First Name:ABBIE
Middle Name:MARRALE
Last Name:DEWITT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ABBIE
Other - Middle Name:
Other - Last Name:MARRALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1807 FORDHAM BLVD
Mailing Address - Street 2:UNC HOSPITALS CENTER FOR REHABILITATION CARE
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2200
Mailing Address - Country:US
Mailing Address - Phone:984-974-9700
Mailing Address - Fax:984-974-9789
Practice Address - Street 1:1807 FORDHAM BLVD
Practice Address - Street 2:UNC HOSPITALS CENTER FOR REHABILITATION CARE
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:984-974-9700
Practice Address - Fax:984-974-9789
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16572225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist