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NPI Code Detail

MEDICARE: DR. MAURICE HABINEZA P.T.,D.P.T.,M.S.P.T

MEDICARE: DR. MAURICE HABINEZA P.T.,D.P.T.,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 TherapistPT017411PA
2225100000XPhysical TherapistPT 002486WV

General Provider Information

NPI Number : 1558542134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAURICE HABINEZA P.T.,D.P.T.,M.S.P.T
Provider Business Mailing Address
First Line : 1105 PERRY HWY
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-2114
Country : US
Telephone Number : 412-369-9955
Fax Number : 412-369-5959
Provider Business Practice Location Address
First Line : 1105 PERRY HWY
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-2114
Country : US
Telephone Number : 412-369-9955
Fax Number : 412-369-5959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2007
Last Update Date : 11/24/2007

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