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NPI Code Detail

MEDICARE: DENA L EYE DPT

MEDICARE: DENA L EYE 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 TherapistPT 002762WV

General Provider Information

NPI Number : 1821226507
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENA L EYE DPT
Provider Business Mailing Address
First Line : 141 MAPLE AVE
Second Line :
City : FRANKLIN
State : WV
Zip : 26807-0700
Country : US
Telephone Number : 304-358-2325
Fax Number : 304-358-3494
Provider Business Practice Location Address
First Line : 141 MAPLE AVE
Second Line :
City : FRANKLIN
State : WV
Zip : 26807-0700
Country : US
Telephone Number : 304-358-2325
Fax Number : 304-358-3494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2009
Last Update Date : 07/01/2009

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Directions to “ DENA L EYE DPT” Practice Location

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