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NPI Code Detail

MEDICARE: MRS. ROSEMARY M REITZ PHYSICAL THERAPIST

MEDICARE: MRS. ROSEMARY M REITZ PHYSICAL THERAPIST
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
1171W00000XContractor5627CA

General Provider Information

NPI Number : 1841484532
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSEMARY M REITZ PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 1525 RACCOON CT
Second Line :
City : VENTURA
State : CA
Zip : 93003-6314
Country : US
Telephone Number : 805-204-7657
Fax Number :
Provider Business Practice Location Address
First Line : 333 1ST ST N
Second Line : SUITE 200
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-6945
Country : US
Telephone Number : 888-909-5038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2007
Last Update Date : 09/05/2007

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Directions to “ MRS. ROSEMARY M REITZ PHYSICAL THERAPIST” Practice Location

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