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NPI Code Detail

MEDICARE: MR. ARNOLD H TRIPP RPT

MEDICARE:  MR. ARNOLD H TRIPP  RPT
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 TherapistPT3422CA
22251E1300XClinical Electrophysiology Physical TherapistEN8CA

General Provider Information

NPI Number : 1609880111
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ARNOLD H TRIPP RPT
Provider Business Mailing Address
First Line : PO BOX 268
Second Line :
City : ESCONDIDO
State : CA
Zip : 92033-0268
Country : US
Telephone Number : 760-738-8811
Fax Number : 760-738-8886
Provider Business Practice Location Address
First Line : 1318 MOUNTAIN PARK PLACE
Second Line :
City : ESCONDIDO
State : CA
Zip : 92027
Country : US
Telephone Number : 760-738-8811
Fax Number : 760-738-8886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 10/16/2008

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Directions to “ MR. ARNOLD H TRIPP RPT” Practice Location

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