MEDICARE: BRIAN BITTNER AND ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	235Z00000X	Speech-Language Pathologist
3	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1285805192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIAN BITTNER AND ASSOCIATES

Provider Business Mailing Address
First Line	:	3638 CANBY DR
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19154-2008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3638 CANBY DR
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19154-2008
Country	:	US
Telephone Number	:	215-612-9463
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRIAN BITTNER
Credential	:
Telephone Number	:	215-612-9463

Provider Enumeration Date	:	03/19/2008
Last Update Date	:	03/19/2008

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