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NPI Code Detail

MEDICARE: MR. JOHN BRIAN HOSTETLER P.T.

MEDICARE: MR. JOHN BRIAN HOSTETLER P.T.
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 TherapistPT000509EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992706667
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN BRIAN HOSTETLER P.T.
Provider Business Mailing Address
First Line : 3565 GLEN EAGLES DR
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17202-8111
Country : US
Telephone Number : 717-352-7542
Fax Number :
Provider Business Practice Location Address
First Line : 142 FRANKLIN FARM LN
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17202-8901
Country : US
Telephone Number : 717-263-5147
Fax Number : 717-263-3454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 09/22/2015

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