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NPI Code Detail

MEDICARE: MISS REBECCA DIANE BAHRMASEL DPT

MEDICARE: MISS REBECCA DIANE BAHRMASEL 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 Therapist2012016549MO

General Provider Information

NPI Number : 1386905784
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS REBECCA DIANE BAHRMASEL DPT
Provider Business Mailing Address
First Line : 8340 N BROADWAY
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63147-2333
Country : US
Telephone Number : 314-385-9563
Fax Number :
Provider Business Practice Location Address
First Line : 8340 N BROADWAY
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63147-2333
Country : US
Telephone Number : 314-385-9563
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2012
Last Update Date : 06/01/2012

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Directions to “ MISS REBECCA DIANE BAHRMASEL DPT” Practice Location

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