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NPI Code Detail

MEDICARE: NAOMI M PINSKER PT, DPT

MEDICARE: NAOMI M PINSKER PT, 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
1225100000XPhysical Therapist2305208726VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C05954OTHERVAGROUP MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699154484
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI M PINSKER PT, DPT
Provider Business Mailing Address
First Line : PO BOX 69030
Second Line :
City : BALTIMORE
State : MD
Zip : 21264-9030
Country : US
Telephone Number : 757-873-2302
Fax Number : 757-873-2306
Provider Business Practice Location Address
First Line : 3100 W MARSHALL ST
Second Line :
City : RICHMOND
State : VA
Zip : 23230-4706
Country : US
Telephone Number : 800-434-2585
Fax Number : 804-355-0408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2015
Last Update Date : 11/18/2020

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