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NPI Code Detail

MEDICARE: DOUGLAS AVERY & ASSOCIATES LTD

MEDICARE: DOUGLAS AVERY & ASSOCIATES LTD
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
1261QP2000XPhysical Therapy Clinic/CenterMD

General Provider Information

NPI Number : 1619972544
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOUGLAS AVERY & ASSOCIATES LTD
Provider Business Mailing Address
First Line : 4714 GETTYSBURG RD
Second Line : LEGAL DEPARTMENT
City : MECHANICSBURG
State : PA
Zip : 17055-4325
Country : US
Telephone Number : 717-972-1100
Fax Number : 717-975-9981
Provider Business Practice Location Address
First Line : 23000 MOAKLEY ST
Second Line : STE 101
City : LEONARDTOWN
State : MD
Zip : 20650-2916
Country : US
Telephone Number : 301-475-5830
Fax Number : 301-475-6507
Authorized Official
Title or Position : VICE PRESIDENT
Name : JOHN F DUGGAN
Credential :
Telephone Number : 717-972-1100
Provider Enumeration Date : 06/16/2005
Last Update Date : 10/20/2025

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