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NPI Code Detail

MEDICARE: JANICE WRAGGE

MEDICARE: JANICE WRAGGE
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 Assistant822NE

General Provider Information

NPI Number : 1427454651
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE WRAGGE
Provider Business Mailing Address
First Line : 515 E MAIN ST
Second Line :
City : PIERCE
State : NE
Zip : 68767-1660
Country : US
Telephone Number : 402-329-6228
Fax Number :
Provider Business Practice Location Address
First Line : 515 E MAIN ST
Second Line :
City : PIERCE
State : NE
Zip : 68767-1660
Country : US
Telephone Number : 402-329-6228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2014
Last Update Date : 11/17/2014

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Directions to “ JANICE WRAGGE ” Practice Location

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