MEDICARE: JOSHUA ROUTZAHN PT, 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
1	225100000X	Physical Therapist	PT026507	PA

General Provider Information

NPI Number	:	1053822635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA ROUTZAHN PT, DPT

Provider Business Mailing Address
First Line	:	118 WALNUT ST STE 114
Second Line	:
City	:	WAYNESBORO
State	:	PA
Zip	:	17268-1669
Country	:	US
Telephone Number	:	717-655-5681
Fax Number	:	717-655-5691

Provider Business Practice Location Address
First Line	:	118 WALNUT ST STE 114
Second Line	:
City	:	WAYNESBORO
State	:	PA
Zip	:	17268-1669
Country	:	US
Telephone Number	:	717-655-5681
Fax Number	:	717-655-5691

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

Provider Enumeration Date	:	10/23/2017
Last Update Date	:	10/23/2017

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