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NPI Code Detail

MEDICARE: BRIAN LIMAS PT

MEDICARE:   BRIAN  LIMAS  PT
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 Therapist32027CA

General Provider Information

NPI Number : 1194114876
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN LIMAS PT
Provider Business Mailing Address
First Line : 6721 SAUSALITO AVE
Second Line :
City : WEST HILLS
State : CA
Zip : 91307-3722
Country : US
Telephone Number : 626-429-5007
Fax Number :
Provider Business Practice Location Address
First Line : 6721 SAUSALITO AVE
Second Line :
City : WEST HILLS
State : CA
Zip : 91307-3722
Country : US
Telephone Number : 626-429-5007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2015
Last Update Date : 01/17/2015

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