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NPI Code Detail

MEDICARE: PATRICIA A REMKE P.T.A.

MEDICARE: PATRICIA A REMKE P.T.A.
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
1225200000XPhysical Therapy AssistantPTA 9734FL

General Provider Information

NPI Number : 1164644530
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA A REMKE P.T.A.
Provider Business Mailing Address
First Line : 513 WINDROSE CIR
Second Line :
City : PENSACOLA
State : FL
Zip : 32507-3573
Country : US
Telephone Number : 850-457-0430
Fax Number : 850-457-0450
Provider Business Practice Location Address
First Line : 6984 PINE FOREST RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-8908
Country : US
Telephone Number : 850-944-0520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/08/2007

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