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NPI Code Detail

MEDICARE: MR. JOHN EDWARD SINGLETARY II P.T.

MEDICARE: MR. JOHN EDWARD SINGLETARY II P.T.
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 Therapist00512LA

General Provider Information

NPI Number : 1831162692
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN EDWARD SINGLETARY II P.T.
Provider Business Mailing Address
First Line : 510 S COTTONWOOD ST
Second Line :
City : BUNKIE
State : LA
Zip : 71322-1135
Country : US
Telephone Number : 318-346-2682
Fax Number : 318-346-7315
Provider Business Practice Location Address
First Line : 510 S COTTONWOOD ST
Second Line :
City : BUNKIE
State : LA
Zip : 71322-1135
Country : US
Telephone Number : 318-346-2682
Fax Number : 318-346-7315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 02/10/2009

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