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NPI Code Detail

MEDICARE: MISS RUBY MAGMOYAO GUILLERMO PT

MEDICARE: MISS RUBY MAGMOYAO GUILLERMO 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 Therapist22076MD

General Provider Information

NPI Number : 1962697078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS RUBY MAGMOYAO GUILLERMO PT
Provider Business Mailing Address
First Line : 3201 W COMMERCIAL BLVD STE 116
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33309-3444
Country : US
Telephone Number : 904-315-1753
Fax Number : 866-711-2432
Provider Business Practice Location Address
First Line : 200 E 16TH ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-4400
Country : US
Telephone Number : 301-662-8700
Fax Number : 301-698-8935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2007
Last Update Date : 09/11/2007

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Directions to “ MISS RUBY MAGMOYAO GUILLERMO PT” Practice Location

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