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NPI Code Detail

MEDICARE: DARLENE CASTRO RAGASA PT

MEDICARE:   DARLENE CASTRO RAGASA  PT
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 Therapist5501013432MI

General Provider Information

NPI Number : 1528246998
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLENE CASTRO RAGASA PT
Provider Business Mailing Address
First Line : 555 N BRADLEY HWY
Second Line :
City : ROGERS CITY
State : MI
Zip : 49779-1539
Country : US
Telephone Number : 989-734-2151
Fax Number :
Provider Business Practice Location Address
First Line : 555 N BRADLEY HWY
Second Line :
City : ROGERS CITY
State : MI
Zip : 49779-1539
Country : US
Telephone Number : 989-734-2151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2008
Last Update Date : 02/07/2008

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Directions to “ DARLENE CASTRO RAGASA PT” Practice Location

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