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NPI Code Detail

MEDICARE: GUADALUPE BARRETO PTA

MEDICARE: GUADALUPE BARRETO 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 Assistant9885OR

General Provider Information

NPI Number : 1588260954
Entity Type Code : Individual
Provider Name (Legal Business Name) : GUADALUPE BARRETO PTA
Provider Business Mailing Address
First Line : 2222 WILLAMETTE ST APT 6
Second Line :
City : EUGENE
State : OR
Zip : 97405-2876
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 MCLEAN BLVD
Second Line :
City : EUGENE
State : OR
Zip : 97405-1979
Country : US
Telephone Number : 541-683-2155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2020
Last Update Date : 12/09/2020

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Directions to “ GUADALUPE BARRETO PTA” Practice Location

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