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NPI Code Detail

MEDICARE: JESSICA ELIZABETH VARNEY DPT

MEDICARE: JESSICA ELIZABETH VARNEY DPT
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
1225100000XPhysical TherapistPT019362PA

General Provider Information

NPI Number : 1104074269
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ELIZABETH VARNEY DPT
Provider Business Mailing Address
First Line : 720 NORMAN DR
Second Line : SUITE B
City : LEBANON
State : PA
Zip : 17042-7481
Country : US
Telephone Number : 717-270-5465
Fax Number : 717-270-5689
Provider Business Practice Location Address
First Line : 720 NORMAN DR
Second Line : SUITE B
City : LEBANON
State : PA
Zip : 17042-7481
Country : US
Telephone Number : 717-270-5465
Fax Number : 717-270-5689
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 09/03/2008

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Directions to “ JESSICA ELIZABETH VARNEY DPT” Practice Location

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