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NPI Code Detail

MEDICARE: BEN JOSEPH MAREAN PTA

MEDICARE: BEN JOSEPH MAREAN PTA
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
1225200000XPhysical Therapy Assistant8778OR

General Provider Information

NPI Number : 1578152567
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEN JOSEPH MAREAN PTA
Provider Business Mailing Address
First Line : 2300 WARREN ST
Second Line :
City : EUGENE
State : OR
Zip : 97405-1116
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2300 WARREN ST
Second Line :
City : EUGENE
State : OR
Zip : 97405-1116
Country : US
Telephone Number : 541-686-2828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2021
Last Update Date : 01/13/2021

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Directions to “ BEN JOSEPH MAREAN PTA” Practice Location

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