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NPI Code Detail

MEDICARE: MR. THOMAS MICHAEL GEISEN PT

MEDICARE:  MR. THOMAS MICHAEL GEISEN  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 Therapist17733CA

General Provider Information

NPI Number : 1720095722
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS MICHAEL GEISEN PT
Provider Business Mailing Address
First Line : 27184 SENA CT
Second Line :
City : VALENCIA
State : CA
Zip : 91354-2233
Country : US
Telephone Number : 661-297-7726
Fax Number : 661-297-7726
Provider Business Practice Location Address
First Line : 27184 SENA CT
Second Line :
City : VALENCIA
State : CA
Zip : 91354-2233
Country : US
Telephone Number : 661-297-7726
Fax Number : 661-297-7726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 07/08/2007

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Directions to “ MR. THOMAS MICHAEL GEISEN PT” Practice Location

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