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NPI Code Detail

MEDICARE: MARJORIE ELLEN KALFON MPT

MEDICARE: MARJORIE ELLEN KALFON MPT
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 Therapist2305202131VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1J757-OOO4OTHERBCBS

General Provider Information

NPI Number : 1548488083
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARJORIE ELLEN KALFON MPT
Provider Business Mailing Address
First Line : 12801 OWLSLEY WAY
Second Line :
City : OAK HILL
State : VA
Zip : 20171-4225
Country : US
Telephone Number : 703-390-1252
Fax Number :
Provider Business Practice Location Address
First Line : 12801 OWLSLEY WAY
Second Line :
City : OAK HILL
State : VA
Zip : 20171-4225
Country : US
Telephone Number : 703-395-6397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2007
Last Update Date : 12/11/2020

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