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NPI Code Detail

MEDICARE: ELIZABETH BRETFELEAN

MEDICARE:   ELIZABETH  BRETFELEAN
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 Assistant2096851TX

General Provider Information

NPI Number : 1043793623
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH BRETFELEAN
Provider Business Mailing Address
First Line : 2613 CREEPING VINE CT
Second Line :
City : PFLUGERVILLE
State : TX
Zip : 78660-3178
Country : US
Telephone Number : 512-586-4470
Fax Number :
Provider Business Practice Location Address
First Line : 11110 TOM ADAMS DR
Second Line :
City : AUSTIN
State : TX
Zip : 78753-3354
Country : US
Telephone Number : 512-836-1515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2018
Last Update Date : 09/10/2018

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Directions to “ ELIZABETH BRETFELEAN ” Practice Location

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