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NPI Code Detail

MEDICARE: ANTHONY MICHAEL GASPERINI PT, DPT

MEDICARE: ANTHONY MICHAEL GASPERINI PT, 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 Therapist1160318TX

General Provider Information

NPI Number : 1255811394
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY MICHAEL GASPERINI PT, DPT
Provider Business Mailing Address
First Line : 1700 N WASHINGTON ST
Second Line :
City : PILOT POINT
State : TX
Zip : 76258-3716
Country : US
Telephone Number : 940-686-5556
Fax Number : 940-686-2092
Provider Business Practice Location Address
First Line : 1700 N WASHINGTON ST
Second Line :
City : PILOT POINT
State : TX
Zip : 76258-3716
Country : US
Telephone Number : 940-686-5556
Fax Number : 940-686-2092
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 08/17/2018

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