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NPI Code Detail

MEDICARE: JEFFREY MICHAEL FILAK MOTRL

MEDICARE: JEFFREY MICHAEL FILAK MOTRL
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
1225X00000XOccupational Therapist6127NC

General Provider Information

NPI Number : 1043338809
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY MICHAEL FILAK MOTRL
Provider Business Mailing Address
First Line : 4131 HEARTHSIDE DR APT 304
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-8525
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1011 PORTERS NECK RD
Second Line :
City : WILMINGTON
State : NC
Zip : 28411-9196
Country : US
Telephone Number : 910-686-5614
Fax Number :
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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