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NPI Code Detail

MEDICARE: DEBRA J MESISCA PT

MEDICARE:   DEBRA J MESISCA  PT
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 TherapistPT8170CA

General Provider Information

NPI Number : 1861472235
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA J MESISCA PT
Provider Business Mailing Address
First Line : 13900 PANAY WAY APT SR318
Second Line :
City : MARINA DEL REY
State : CA
Zip : 90292-6141
Country : US
Telephone Number : 310-467-3713
Fax Number :
Provider Business Practice Location Address
First Line : 13900 PANAY WAY APT SR318
Second Line :
City : MARINA DEL REY
State : CA
Zip : 90292-6141
Country : US
Telephone Number : 310-467-3713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 03/19/2026

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Directions to “ DEBRA J MESISCA PT” Practice Location

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