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NPI Code Detail

MEDICARE: DR. MICHAEL BEAN DPT,OCS

MEDICARE:  DR. MICHAEL  BEAN  DPT,OCS
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
12251X0800XOrthopedic Physical TherapistP19975NC

General Provider Information

NPI Number : 1861482838
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL BEAN DPT,OCS
Provider Business Mailing Address
First Line : BLDG X-4047, NEW DAWN DR
Second Line :
City : FORT LIBERTY
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 910-908-5846
Fax Number :
Provider Business Practice Location Address
First Line : BLDG X-4047, NEW DAWN DR
Second Line :
City : FORT LIBERTY
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 910-908-5846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 01/27/2025

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Directions to “ DR. MICHAEL BEAN DPT,OCS” Practice Location

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