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NPI Code Detail

MEDICARE: MRS. BLESSY ELIZABETH VARGHESE MSPT

MEDICARE:  MRS. BLESSY ELIZABETH VARGHESE  MSPT
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 Therapist1154880TX

General Provider Information

NPI Number : 1710954342
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BLESSY ELIZABETH VARGHESE MSPT
Provider Business Mailing Address
First Line : 2317 WEST UNIVERSITY DR
Second Line : SUITE A-7
City : DENTON
State : TX
Zip : 76201
Country : US
Telephone Number : 940-349-0024
Fax Number : 940-349-0027
Provider Business Practice Location Address
First Line : 2317 WEST UNIVERSITY DR
Second Line : SUITE A-7
City : DENTON
State : TX
Zip : 76201
Country : US
Telephone Number : 940-349-0024
Fax Number : 940-349-0027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. BLESSY ELIZABETH VARGHESE MSPT” Practice Location

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