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NPI Code Detail

MEDICARE: MR. MICHAEL CAZENAVE RPT

MEDICARE: MR. MICHAEL CAZENAVE RPT
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 TherapistPTH3521AL

General Provider Information

NPI Number : 1396780474
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL CAZENAVE RPT
Provider Business Mailing Address
First Line : 3102 RAINBOW DRIVE
Second Line : SUITE 200
City : RAINBOW CITY
State : AL
Zip : 35906-5804
Country : US
Telephone Number : 256-549-6387
Fax Number : 256-549-6391
Provider Business Practice Location Address
First Line : 3102 RAINBOW DR STE 200
Second Line :
City : RAINBOW CITY
State : AL
Zip : 35906-5804
Country : US
Telephone Number : 256-549-6387
Fax Number : 256-549-6391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 09/20/2017

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Directions to “ MR. MICHAEL CAZENAVE RPT” Practice Location

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