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NPI Code Detail

MEDICARE: JONATHAN JOSEPH BEBEY PT, DPT

MEDICARE: JONATHAN JOSEPH BEBEY PT, 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
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1962114777
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN JOSEPH BEBEY PT, DPT
Provider Business Mailing Address
First Line : 3688 E JAGUAR AVE
Second Line :
City : GILBERT
State : AZ
Zip : 85298-9142
Country : US
Telephone Number : 267-421-7987
Fax Number :
Provider Business Practice Location Address
First Line : 7325 E PRINCESS BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-5991
Country : US
Telephone Number : 602-813-0086
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2022
Last Update Date : 12/23/2022

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