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NPI Code Detail

MEDICARE: CYNTHIA I BRIGGS P.T.

MEDICARE: CYNTHIA I BRIGGS 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 Therapist16440MD

General Provider Information

NPI Number : 1558580654
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA I BRIGGS P.T.
Provider Business Mailing Address
First Line : 13206 STRAWBERRY HILL PL
Second Line :
City : CLINTON
State : MD
Zip : 20735-4574
Country : US
Telephone Number : 301-203-7472
Fax Number :
Provider Business Practice Location Address
First Line : 4140 OLD WASHINGTON RD
Second Line :
City : WALDORF
State : MD
Zip : 20602-3221
Country : US
Telephone Number : 301-645-2813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 07/08/2007

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