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NPI Code Detail

MEDICARE: RONALD J TESTER PT

MEDICARE: RONALD J TESTER 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
1225100000XPhysical Therapist1101947TX

General Provider Information

NPI Number : 1538328877
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD J TESTER PT
Provider Business Mailing Address
First Line : 2222 SULLIVAN TRL
Second Line :
City : EASTON
State : PA
Zip : 18040-7958
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2525 CENTERVILLE RD
Second Line :
City : DALLAS
State : TX
Zip : 75228-2634
Country : US
Telephone Number : 214-324-3328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2008
Last Update Date : 06/02/2008

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Directions to “ RONALD J TESTER PT” Practice Location

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