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NPI Code Detail

MEDICARE: MR. JOSHUA MICHAEL BEARER MPT

MEDICARE: MR. JOSHUA MICHAEL BEARER 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 Therapist002918WV

General Provider Information

NPI Number : 1568750768
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSHUA MICHAEL BEARER MPT
Provider Business Mailing Address
First Line : 302 ROCK CLIFF DR
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-2838
Country : US
Telephone Number : 304-267-0666
Fax Number : 304-267-8348
Provider Business Practice Location Address
First Line : 302 ROCK CLIFF DR
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-2838
Country : US
Telephone Number : 304-267-0666
Fax Number : 304-267-8348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2011
Last Update Date : 07/21/2011

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