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NPI Code Detail

MEDICARE: BRIANNA RACHEL OBERT M.S.P.T.

MEDICARE: BRIANNA RACHEL OBERT M.S.P.T.
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 Therapist8729CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1102072963OTHEROWCP FACILITY ID

General Provider Information

NPI Number : 1518979798
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA RACHEL OBERT M.S.P.T.
Provider Business Mailing Address
First Line : 5300 DTC PKWY
Second Line : SUITE # 200
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3023
Country : US
Telephone Number : 720-306-8261
Fax Number : 720-306-8231
Provider Business Practice Location Address
First Line : 5300 DTC PKWY
Second Line : SUITE # 200
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3023
Country : US
Telephone Number : 720-306-8261
Fax Number : 720-306-8231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 06/08/2011

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