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NPI Code Detail

MEDICARE: JESSICA RAPOSA PTA

MEDICARE: JESSICA RAPOSA PTA
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 Assistant23984FL

General Provider Information

NPI Number : 1639582794
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA RAPOSA PTA
Provider Business Mailing Address
First Line : 31790 US HIGHWAY 19 N APT 89
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-3717
Country : US
Telephone Number : 774-644-7547
Fax Number :
Provider Business Practice Location Address
First Line : 2600 HIGHLANDS BLVD N
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-2114
Country : US
Telephone Number : 727-785-5671
Fax Number : 727-786-2418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2014
Last Update Date : 06/06/2014

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Directions to “ JESSICA RAPOSA PTA” Practice Location

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