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NPI Code Detail

MEDICARE: MICHAEL EDWARD MONIZ MSPT

MEDICARE: MICHAEL EDWARD MONIZ MSPT
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 Therapist10480NC

General Provider Information

NPI Number : 1134387194
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL EDWARD MONIZ MSPT
Provider Business Mailing Address
First Line : 90 BEAR FARM RD
Second Line :
City : CANDLER
State : NC
Zip : 28715-9253
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 95 HOLCOMBE COVE RD
Second Line :
City : CANDLER
State : NC
Zip : 28715-9450
Country : US
Telephone Number : 828-667-9851
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2008
Last Update Date : 03/19/2014

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