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NPI Code Detail

MEDICARE: MRS. MARTHA JEAN DOYLE PHYSICAL THERAPIST

MEDICARE: MRS. MARTHA JEAN DOYLE PHYSICAL THERAPIST
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 Therapist2372AZ

General Provider Information

NPI Number : 1992823991
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARTHA JEAN DOYLE PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 5617 E BEVERLY LN
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-1260
Country : US
Telephone Number : 602-686-3107
Fax Number : 602-368-9065
Provider Business Practice Location Address
First Line : 20402 N 15TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-3636
Country : US
Telephone Number : 623-445-5000
Fax Number : 623-445-5000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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