MEDICARE: TIMOTHY JOHN BIEBER MPT

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	PT16273	FL

General Provider Information

NPI Number	:	1164746053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY JOHN BIEBER MPT

Provider Business Mailing Address
First Line	:	1705 SAND DOLLAR WAY
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32963-2724
Country	:	US
Telephone Number	:	772-473-7254
Fax Number	:

Provider Business Practice Location Address
First Line	:	1705 SAND DOLLAR WAY
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32963-2724
Country	:	US
Telephone Number	:	772-473-7254
Fax Number	:

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

Provider Enumeration Date	:	03/21/2010
Last Update Date	:	06/01/2015

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Directions to “ TIMOTHY JOHN BIEBER MPT” Practice Location

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