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NPI Code Detail

MEDICARE: JAMI YARGER PTA

MEDICARE:   JAMI  YARGER  PTA
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 AssistantPTA21047FL

General Provider Information

NPI Number : 1699263491
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMI YARGER PTA
Provider Business Mailing Address
First Line : 2119 SIFIELD GREENS WAY
Second Line :
City : SUN CITY CENTER
State : FL
Zip : 33573-7171
Country : US
Telephone Number : 937-408-6879
Fax Number :
Provider Business Practice Location Address
First Line : 1311 ASTON GARDENS CT
Second Line :
City : SUN CITY CENTER
State : FL
Zip : 33573-3824
Country : US
Telephone Number : 813-603-6250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2018
Last Update Date : 04/26/2018

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Directions to “ JAMI YARGER PTA” Practice Location

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