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NPI Code Detail

MEDICARE: CARL W DEAN MPT

MEDICARE: CARL W DEAN MPT
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 Therapist10801NC

General Provider Information

NPI Number : 1245442078
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL W DEAN MPT
Provider Business Mailing Address
First Line : 20 W MEDICAL CT
Second Line :
City : MARION
State : NC
Zip : 28752-4968
Country : US
Telephone Number : 828-659-8049
Fax Number : 828-659-8639
Provider Business Practice Location Address
First Line : 20 W MEDICAL CT
Second Line :
City : MARION
State : NC
Zip : 28752-4968
Country : US
Telephone Number : 828-659-8049
Fax Number : 828-659-8639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/08/2007

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Directions to “ CARL W DEAN MPT” Practice Location

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