Provider Demographics
NPI:1548488513
Name:HUNT, MARCIA LYNN (OTR-L)
Entity type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:LYNN
Last Name:HUNT
Suffix:
Gender:F
Credentials:OTR-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 ORLEANS DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5926
Mailing Address - Country:US
Mailing Address - Phone:850-656-7443
Mailing Address - Fax:
Practice Address - Street 1:1490 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:FL
Practice Address - Zip Code:32344-1132
Practice Address - Country:US
Practice Address - Phone:850-656-7443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1154174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist