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NPI Code Detail

MEDICARE: BETINA PIERCE DPT

MEDICARE: BETINA PIERCE 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 Therapist3127NV
2225100000XPhysical TherapistCP021773TOK

General Provider Information

NPI Number : 1760862577
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETINA PIERCE DPT
Provider Business Mailing Address
First Line : 9860 FAIRFAX BLVD STE 1
Second Line :
City : FAIRFAX
State : VA
Zip : 22030-1702
Country : US
Telephone Number : 703-383-1616
Fax Number : 703-383-1166
Provider Business Practice Location Address
First Line : 7401 RIVERSIDE PKWY UNIT 219
Second Line :
City : TULSA
State : OK
Zip : 74136-5057
Country : US
Telephone Number : 918-216-9303
Fax Number : 539-202-5007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2015
Last Update Date : 03/19/2024

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Directions to “ BETINA PIERCE DPT” Practice Location

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