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NPI Code Detail

MEDICARE: ABBY GENE CATES PTA

MEDICARE:   ABBY GENE CATES  PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantA-0608NV

General Provider Information

NPI Number : 1003171646
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBY GENE CATES PTA
Provider Business Mailing Address
First Line : 995 TAHOE BLVD
Second Line :
City : INCLINE VILLAGE
State : NV
Zip : 89451-9795
Country : US
Telephone Number : 801-589-4212
Fax Number :
Provider Business Practice Location Address
First Line : 3050 N ORMSBY BLVD
Second Line :
City : CARSON CITY
State : NV
Zip : 89703-8378
Country : US
Telephone Number : 775-841-4646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2012
Last Update Date : 07/10/2012

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