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NPI Code Detail

MEDICARE: PATRICIA NUTT

MEDICARE: PATRICIA NUTT
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 AssistantTEI00044PA

General Provider Information

NPI Number : 1699183517
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA NUTT
Provider Business Mailing Address
First Line : 4850 ZUCK RD
Second Line :
City : ERIE
State : PA
Zip : 16506-4936
Country : US
Telephone Number : 814-836-3303
Fax Number : 479-478-2856
Provider Business Practice Location Address
First Line : 4850 ZUCK RD
Second Line :
City : ERIE
State : PA
Zip : 16506-4936
Country : US
Telephone Number : 814-836-3303
Fax Number : 479-478-2856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2014
Last Update Date : 07/23/2014

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Directions to “ PATRICIA NUTT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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