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NPI Code Detail

MEDICARE: MISS REBECCA BARTLETT DPT

MEDICARE:  MISS REBECCA  BARTLETT  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 TherapistPT25188FL
2225100000XPhysical TherapistPT10553CO

General Provider Information

NPI Number : 1174852446
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS REBECCA BARTLETT DPT
Provider Business Mailing Address
First Line : 1153 GULF BREEZE PKWY
Second Line :
City : GULF BREEZE
State : FL
Zip : 32561-7807
Country : US
Telephone Number : 850-932-6382
Fax Number : 850-932-9215
Provider Business Practice Location Address
First Line : 405 RACETRACK RD NE
Second Line : SUITE 101
City : FORT WALTON BEACH
State : FL
Zip : 32547-2561
Country : US
Telephone Number : 850-863-4747
Fax Number : 850-863-8580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2009
Last Update Date : 12/16/2009

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Directions to “ MISS REBECCA BARTLETT DPT” Practice Location

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