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NPI Code Detail

MEDICARE: ALFER JOHN ADLAWAN PTA

MEDICARE: ALFER JOHN ADLAWAN PTA
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
1225200000XPhysical Therapy AssistantA8235NC

General Provider Information

NPI Number : 1336926849
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFER JOHN ADLAWAN PTA
Provider Business Mailing Address
First Line : 605 N SPENCE AVE
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-4263
Country : US
Telephone Number : 919-751-0555
Fax Number : 919-751-3001
Provider Business Practice Location Address
First Line : 605 N SPENCE AVE
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-4263
Country : US
Telephone Number : 919-751-0555
Fax Number : 919-751-3001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2023
Last Update Date : 09/11/2023

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