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NPI Code Detail

MEDICARE: BARRY FAULKNER

MEDICARE:   BARRY  FAULKNER
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 TherapistPT42200FL

General Provider Information

NPI Number : 1760208565
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRY FAULKNER
Provider Business Mailing Address
First Line : 2420 3RD AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33713-7910
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2420 3RD AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33713-7910
Country : US
Telephone Number : 504-432-8055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2024
Last Update Date : 11/26/2024

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Directions to “ BARRY FAULKNER ” Practice Location

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