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NPI Code Detail

MEDICARE: DR. RHEA BEAN-BATES DPT

MEDICARE: DR. RHEA BEAN-BATES 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 Therapist21902FL

General Provider Information

NPI Number : 1043359128
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RHEA BEAN-BATES DPT
Provider Business Mailing Address
First Line : 5900 TOWNSEND RD
Second Line : #415
City : JACKSONVILLE
State : FL
Zip : 32244-4569
Country : US
Telephone Number : 904-778-4382
Fax Number :
Provider Business Practice Location Address
First Line : 6248 103RD ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-7733
Country : US
Telephone Number : 904-573-0046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 07/08/2007

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Directions to “ DR. RHEA BEAN-BATES DPT” Practice Location

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