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NPI Code Detail

MEDICARE: MR. JOSEPH M ZARETT I MPT

MEDICARE: MR. JOSEPH M ZARETT I 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 TherapistPT006895LPA

General Provider Information

NPI Number : 1356310684
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH M ZARETT I MPT
Provider Business Mailing Address
First Line : 520 S 19TH STREET
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19120
Country : US
Telephone Number : 215-731-1449
Fax Number : 215-731-1345
Provider Business Practice Location Address
First Line : 520 S 19TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-1449
Country : US
Telephone Number : 215-731-1449
Fax Number : 215-731-1345
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 07/08/2007

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