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NPI Code Detail

MEDICARE: EVA MICHEL DPT

MEDICARE: EVA MICHEL 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 Therapist10521AZ

General Provider Information

NPI Number : 1881028090
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA MICHEL DPT
Provider Business Mailing Address
First Line : 1190 E MISSOURI AVE STE 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-2719
Country : US
Telephone Number : 602-393-0520
Fax Number :
Provider Business Practice Location Address
First Line : 1190 E MISSOURI AVE STE 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-2719
Country : US
Telephone Number : 602-393-0520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2013
Last Update Date : 08/23/2013

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Directions to “ EVA MICHEL DPT” Practice Location

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