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NPI Code Detail

MEDICARE: AMI A. DESAI M.S.P.T.

MEDICARE: AMI A. DESAI M.S.P.T.
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 Therapist6197CO

General Provider Information

NPI Number : 1659312130
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMI A. DESAI M.S.P.T.
Provider Business Mailing Address
First Line : 54 GARDEN CTR
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-1730
Country : US
Telephone Number : 303-466-3232
Fax Number : 303-466-0110
Provider Business Practice Location Address
First Line : 54 GARDEN CTR
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-1730
Country : US
Telephone Number : 303-466-3232
Fax Number : 303-466-0110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 11/06/2007

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