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NPI Code Detail

MEDICARE: DAVID JAY MAASKE P.T.

MEDICARE: DAVID JAY MAASKE 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 Therapist070-006914IL

General Provider Information

NPI Number : 1831185859
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID JAY MAASKE P.T.
Provider Business Mailing Address
First Line : 2111 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-7597
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2111 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-7597
Country : US
Telephone Number : 630-978-3800
Fax Number : 630-862-3085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 10/06/2022

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Directions to “ DAVID JAY MAASKE P.T.” Practice Location

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