MEDICARE: MRS. BARBARA JOAN SIMONE 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
1	225100000X	Physical Therapist	14197	CA

General Provider Information

NPI Number	:	1487950093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA JOAN SIMONE PT

Provider Business Mailing Address
First Line	:	9 RAPOSA
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-1509
Country	:	US
Telephone Number	:	949-293-1953
Fax Number	:	949-888-2510

Provider Business Practice Location Address
First Line	:	9 RAPOSA
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-1509
Country	:	US
Telephone Number	:	949-293-1953
Fax Number	:	949-888-2510

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2011
Last Update Date	:	01/28/2011

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