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NPI Code Detail

MEDICARE: BRITTANY JULIA MORENO PT, DPT

MEDICARE: BRITTANY JULIA MORENO PT, DPT
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 Therapist1287839TX

General Provider Information

NPI Number : 1528508017
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY JULIA MORENO PT, DPT
Provider Business Mailing Address
First Line : 502 E RAMSEY RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-4639
Country : US
Telephone Number : 210-490-3900
Fax Number : 210-490-3911
Provider Business Practice Location Address
First Line : 502 E RAMSEY RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-4639
Country : US
Telephone Number : 210-490-3900
Fax Number : 210-490-3911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2017
Last Update Date : 01/04/2022

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