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NPI Code Detail

MEDICARE: JOSHUA HENNEN PT, DPT

MEDICARE:   JOSHUA  HENNEN  PT, 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 TherapistP21223NC

General Provider Information

NPI Number : 1316683428
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA HENNEN PT, DPT
Provider Business Mailing Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 910-907-8707
Fax Number : 999-999-9999
Provider Business Practice Location Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 910-907-8707
Fax Number : 999-999-9999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2022
Last Update Date : 03/02/2026

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Directions to “ JOSHUA HENNEN PT, DPT” Practice Location

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