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NPI Code Detail

MEDICARE: MR. ROB TWIETMEYER

MEDICARE: MR. ROB TWIETMEYER
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
1225200000XPhysical Therapy AssistantAZ5652AAZ

General Provider Information

NPI Number : 1891124699
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROB TWIETMEYER
Provider Business Mailing Address
First Line : 17300 N 88TH AVE
Second Line :
City : PEORIA
State : AZ
Zip : 85382-3501
Country : US
Telephone Number : 623-977-0807
Fax Number :
Provider Business Practice Location Address
First Line : 17300 N 88TH AVE
Second Line :
City : PEORIA
State : AZ
Zip : 85382-3501
Country : US
Telephone Number : 623-977-0807
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2013
Last Update Date : 11/02/2013

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Directions to “ MR. ROB TWIETMEYER ” Practice Location

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