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NPI Code Detail

MEDICARE: SETOO JAIN PT, MPT

MEDICARE: SETOO JAIN PT, MPT
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 Therapist1321055TX
2225100000XPhysical TherapistP19261NC

General Provider Information

NPI Number : 1396393179
Entity Type Code : Individual
Provider Name (Legal Business Name) : SETOO JAIN PT, MPT
Provider Business Mailing Address
First Line : PO BOX 412313
Second Line :
City : BOSTON
State : MA
Zip : 02241-2313
Country : US
Telephone Number : 914-294-4050
Fax Number :
Provider Business Practice Location Address
First Line : 2100 N DAVIDSON ST STE C
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-1828
Country : US
Telephone Number : 980-556-7780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2019
Last Update Date : 05/17/2022

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