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NPI Code Detail

MEDICARE: JOSEPH FAIA

MEDICARE:   JOSEPH  FAIA
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 Therapist11041AZ

General Provider Information

NPI Number : 1518367309
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH FAIA
Provider Business Mailing Address
First Line : 41125 N DAISY MOUNTAIN DR
Second Line : SUITE 125
City : ANTHEM
State : AZ
Zip : 85086-4954
Country : US
Telephone Number : 623-551-9706
Fax Number : 623-551-5078
Provider Business Practice Location Address
First Line : 2655 W CAREFREE HWY
Second Line :
City : PHOENIX
State : AZ
Zip : 85085-8862
Country : US
Telephone Number : 623-434-4655
Fax Number : 623-434-4657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2014
Last Update Date : 08/28/2014

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Directions to “ JOSEPH FAIA ” Practice Location

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