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
1	225100000X	Physical Therapist	1154880	TX

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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