MEDICARE: MR. JOHN VERCHER MPT

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
1	225100000X	Physical Therapist	PT015527	PA

General Provider Information

NPI Number	:	1053386425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN VERCHER MPT

Provider Business Mailing Address
First Line	:	117 ASPEN PL
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-1702
Country	:	US
Telephone Number	:	267-222-8723
Fax Number	:

Provider Business Practice Location Address
First Line	:	117 ASPEN PL
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-1702
Country	:	US
Telephone Number	:	267-222-8723
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	07/12/2011

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Directions to “ MR. JOHN VERCHER MPT” Practice Location

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