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NPI Code Detail

MEDICARE: REBECCA LEE BUSCIGLIO LPTA

MEDICARE:   REBECCA LEE BUSCIGLIO  LPTA
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 Assistant2306601972VA

General Provider Information

NPI Number : 1508062019
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA LEE BUSCIGLIO LPTA
Provider Business Mailing Address
First Line : 1940 SOUTHAVEN DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-8810
Country : US
Telephone Number : 757-473-3088
Fax Number : 757-473-3088
Provider Business Practice Location Address
First Line : 2135 GENERAL BOOTH BLVD
Second Line : SUITE 152
City : VIRGINIA BEACH
State : VA
Zip : 23454-5881
Country : US
Telephone Number : 757-430-8828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2007
Last Update Date : 07/08/2007

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Directions to “ REBECCA LEE BUSCIGLIO LPTA” Practice Location

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