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NPI Code Detail

MEDICARE: REBECCA RAMSEY BLISS DPT

MEDICARE: REBECCA RAMSEY BLISS 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 TherapistP18290NC

General Provider Information

NPI Number : 1841774767
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA RAMSEY BLISS DPT
Provider Business Mailing Address
First Line : 4214 N ROXBORO ST STE 100
Second Line :
City : DURHAM
State : NC
Zip : 27704-1888
Country : US
Telephone Number : 919-479-9001
Fax Number :
Provider Business Practice Location Address
First Line : 4214 N ROXBORO ST STE 100
Second Line :
City : DURHAM
State : NC
Zip : 27704-1888
Country : US
Telephone Number : 919-479-9001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2018
Last Update Date : 09/17/2018

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Directions to “ REBECCA RAMSEY BLISS DPT” Practice Location

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