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NPI Code Detail

MEDICARE: MRS. NAOMI JULIA WILL DPT

MEDICARE: MRS. NAOMI JULIA WILL DPT
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
12251G0304XGeriatric Physical Therapist11508CO
2225100000XPhysical Therapist11508CO

General Provider Information

NPI Number : 1629347828
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NAOMI JULIA WILL DPT
Provider Business Mailing Address
First Line : 9352 WOLFE ST
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80129-5766
Country : US
Telephone Number : 702-370-2891
Fax Number :
Provider Business Practice Location Address
First Line : 9085 RANCH RIVER CIR
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80126-5094
Country : US
Telephone Number : 702-370-2891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2011
Last Update Date : 12/19/2011

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