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NPI Code Detail

MEDICARE: ELIZABETH GUIDI PT

MEDICARE:   ELIZABETH  GUIDI  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 Therapist004292KY

General Provider Information

NPI Number : 1336479997
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH GUIDI PT
Provider Business Mailing Address
First Line : 8109 ALEXANDRIA PIKE
Second Line :
City : ALEXANDRIA
State : KY
Zip : 41001-2150
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8109 ALEXANDRIA PIKE
Second Line :
City : ALEXANDRIA
State : KY
Zip : 41001-2150
Country : US
Telephone Number : 859-635-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2010
Last Update Date : 01/05/2010

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Directions to “ ELIZABETH GUIDI PT” Practice Location

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