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NPI Code Detail

MEDICARE: MICHEAL MAUGERI LPTA

MEDICARE: MICHEAL MAUGERI LPTA
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
1225200000XPhysical Therapy Assistant2306603084VA

General Provider Information

NPI Number : 1386932630
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHEAL MAUGERI LPTA
Provider Business Mailing Address
First Line : 1016 FIRST COLONIAL RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3073
Country : US
Telephone Number : 757-481-4066
Fax Number : 757-481-3779
Provider Business Practice Location Address
First Line : 1016 FIRST COLONIAL RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3073
Country : US
Telephone Number : 757-481-4066
Fax Number : 757-481-3779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2011
Last Update Date : 07/20/2011

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Directions to “ MICHEAL MAUGERI LPTA” Practice Location

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