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NPI Code Detail

MEDICARE: BETHESDA PHYSICAL THERAPY AND WELLNESS, INC.

MEDICARE: BETHESDA PHYSICAL THERAPY AND WELLNESS, INC.
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 Therapist

General Provider Information

NPI Number : 1134227788
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETHESDA PHYSICAL THERAPY AND WELLNESS, INC.
Provider Business Mailing Address
First Line : 1609 N COALTER ST
Second Line :
City : STAUNTON
State : VA
Zip : 24401-2552
Country : US
Telephone Number : 540-213-1320
Fax Number : 540-213-1323
Provider Business Practice Location Address
First Line : 1609 N COALTER ST
Second Line :
City : STAUNTON
State : VA
Zip : 24401-2552
Country : US
Telephone Number : 540-213-1320
Fax Number : 540-213-1323
Authorized Official
Title or Position : OFFICE MANAGER
Name : SUSAN L NICOLL
Credential :
Telephone Number : 540-213-1320
Provider Enumeration Date : 09/20/2006
Last Update Date : 08/22/2020

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