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NPI Code Detail

MEDICARE: JOSHUA BREGER DPT

MEDICARE: JOSHUA BREGER DPT
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 Therapist070019600IL
2225100000XPhysical TherapistPT019049OH

General Provider Information

NPI Number : 1164767323
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA BREGER DPT
Provider Business Mailing Address
First Line : 206 ALBERT SABIN WAY RM 1021
Second Line :
City : CINCINNATI
State : OH
Zip : 45267-2800
Country : US
Telephone Number : 847-530-2700
Fax Number :
Provider Business Practice Location Address
First Line : 1847 OAK ST
Second Line :
City : NORTHFIELD
State : IL
Zip : 60093-3013
Country : US
Telephone Number : 847-441-7460
Fax Number : 847-441-7465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2012
Last Update Date : 03/31/2021

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