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NPI Code Detail

MEDICARE: PHYSICAL THERAPY SERVICES INC.

MEDICARE: PHYSICAL THERAPY SERVICES 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
1332BC3200XCustomized Equipment (DME)

General Provider Information

NPI Number : 1154454759
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICAL THERAPY SERVICES INC.
Provider Business Mailing Address
First Line : PO BOX 56
Second Line :
City : MANATI
State : PR
Zip : 00674-0056
Country : US
Telephone Number : 787-756-6868
Fax Number : 787-767-8484
Provider Business Practice Location Address
First Line : 965 AVE AMERICO MIRANDA
Second Line :
City : SAN JUAN
State : PR
Zip : 00921-2801
Country : US
Telephone Number : 787-756-6868
Fax Number : 787-767-8484
Authorized Official
Title or Position : PRESIDENT
Name : JOSE A HERNANDEZ
Credential : BOCOP,C,PED,RPT
Telephone Number : 787-756-6868
Provider Enumeration Date : 03/13/2007
Last Update Date : 07/17/2007

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Directions to “PHYSICAL THERAPY SERVICES INC. ” Practice Location

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