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NPI Code Detail

MEDICARE: MRS. HELEN E. DEWITT HELEN DEWITT

MEDICARE:  MRS. HELEN E. DEWITT  HELEN DEWITT
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 AssistantPTA 19924FL

General Provider Information

NPI Number : 1801073747
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HELEN E. DEWITT HELEN DEWITT
Provider Business Mailing Address
First Line : 8129 HAZELNUT CT
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34654-5626
Country : US
Telephone Number : 727-841-0706
Fax Number :
Provider Business Practice Location Address
First Line : 7227 LAND O LAKES BLVD
Second Line :
City : LAND O LAKES
State : FL
Zip : 34638-2826
Country : US
Telephone Number : 727-774-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2008
Last Update Date : 01/23/2008

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Directions to “ MRS. HELEN E. DEWITT HELEN DEWITT” Practice Location

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