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NPI Code Detail

MEDICARE: DPPT 2, LLC

MEDICARE: DPPT 2, LLC
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1932615150
Entity Type Code : Organization
Provider Name (Legal Business Name) : DPPT 2, LLC
Provider Business Mailing Address
First Line : 2247 W GREAT NECK RD STE 101
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-1556
Country : US
Telephone Number : 757-742-3778
Fax Number :
Provider Business Practice Location Address
First Line : 1900 MONTICELLO AVE
Second Line :
City : NORFOLK
State : VA
Zip : 23517-2339
Country : US
Telephone Number : 757-742-3778
Fax Number :
Authorized Official
Title or Position : MEMBER/OWNER
Name : STEPHEN MCKENZIE
Credential : DPT
Telephone Number : 757-742-3778
Provider Enumeration Date : 12/26/2017
Last Update Date : 10/06/2021

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Directions to “DPPT 2, LLC ” Practice Location

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