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NPI Code Detail

MEDICARE: MR. AARON MATTHEW BREESE PT

MEDICARE: MR. AARON MATTHEW BREESE PT
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 TherapistPT017346PA
2225100000XPhysical Therapist5548SC

General Provider Information

NPI Number : 1225161458
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AARON MATTHEW BREESE PT
Provider Business Mailing Address
First Line : 509 MARKET ST
Second Line :
City : WARREN
State : PA
Zip : 16365-1765
Country : US
Telephone Number : 814-726-1058
Fax Number :
Provider Business Practice Location Address
First Line : 2825 CARTER RD
Second Line :
City : SUMTER
State : SC
Zip : 29150-1712
Country : US
Telephone Number : 888-531-2204
Fax Number : 855-232-8604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 02/15/2019

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