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NPI Code Detail

MEDICARE: JOSH JAMES SCHENKEL PT

MEDICARE: JOSH JAMES SCHENKEL 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 TherapistPT 21040FL

General Provider Information

NPI Number : 1982623039
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSH JAMES SCHENKEL PT
Provider Business Mailing Address
First Line : 2107 COUNTRY CLUB DR
Second Line :
City : LYNN HAVEN
State : FL
Zip : 32444
Country : US
Telephone Number : 850-866-8709
Fax Number : 850-769-5914
Provider Business Practice Location Address
First Line : 3210 JENKS AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4224
Country : US
Telephone Number : 850-769-0603
Fax Number : 850-769-5914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 10/02/2012

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