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NPI Code Detail

MEDICARE: ADAM RAY EPSTEIN PT, DPT

MEDICARE: ADAM RAY EPSTEIN 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 Therapist5501020113MI

General Provider Information

NPI Number : 1568139285
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM RAY EPSTEIN PT, DPT
Provider Business Mailing Address
First Line : 125 GIRARD AVE
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-3425
Country : US
Telephone Number : 517-285-3586
Fax Number :
Provider Business Practice Location Address
First Line : 141 HAMPTON CIR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-4103
Country : US
Telephone Number : 248-853-7555
Fax Number : 248-853-7556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2021
Last Update Date : 08/30/2021

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