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NPI Code Detail

MEDICARE: EMILY BRUBAKER

MEDICARE:   EMILY  BRUBAKER
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 AssistantA7766NC

General Provider Information

NPI Number : 1144071267
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY BRUBAKER
Provider Business Mailing Address
First Line : 6815 MCPHERSON CLAY RD
Second Line :
City : LIBERTY
State : NC
Zip : 27298-9313
Country : US
Telephone Number : 717-775-9689
Fax Number :
Provider Business Practice Location Address
First Line : 3701 WADE COBLE DR
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-9743
Country : US
Telephone Number : 336-538-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2024
Last Update Date : 03/27/2024

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Directions to “ EMILY BRUBAKER ” Practice Location

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