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NPI Code Detail

MEDICARE: DENISE BOZUE PT

MEDICARE: DENISE BOZUE 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
12251N0400XNeurology Physical Therapist19763MD

General Provider Information

NPI Number : 1861684946
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE BOZUE PT
Provider Business Mailing Address
First Line : 56 W FREDERICK ST
Second Line :
City : WALKERSVILLE
State : MD
Zip : 21793-8254
Country : US
Telephone Number : 301-898-4321
Fax Number : 301-898-4343
Provider Business Practice Location Address
First Line : 56 W FREDERICK ST
Second Line :
City : WALKERSVILLE
State : MD
Zip : 21793-8254
Country : US
Telephone Number : 301-898-4321
Fax Number : 301-898-4343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2007
Last Update Date : 08/13/2007

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Directions to “ DENISE BOZUE PT” Practice Location

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