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NPI Code Detail

MEDICARE: MRS. MARGARET DENISE BRAND PTA

MEDICARE: MRS. MARGARET DENISE BRAND PTA
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
1225200000XPhysical Therapy AssistantPTA18800FL

General Provider Information

NPI Number : 1982900635
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGARET DENISE BRAND PTA
Provider Business Mailing Address
First Line : 820 COMMED BLVD
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8321
Country : US
Telephone Number : 386-775-7488
Fax Number :
Provider Business Practice Location Address
First Line : 820 COMMED BLVD
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8321
Country : US
Telephone Number : 386-775-7488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2011
Last Update Date : 01/28/2011

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