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NPI Code Detail

MEDICARE: MR. JUSTIN L BIERANOSKI PT

MEDICARE: MR. JUSTIN L BIERANOSKI 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 TherapistPT018133PA

General Provider Information

NPI Number : 1992875272
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JUSTIN L BIERANOSKI PT
Provider Business Mailing Address
First Line : 225 DODD DR
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-9529
Country : US
Telephone Number : 724-681-2570
Fax Number : 724-833-9449
Provider Business Practice Location Address
First Line : 107 CURRY RD
Second Line :
City : WAYNESBURG
State : PA
Zip : 15370-3415
Country : US
Telephone Number : 724-627-4074
Fax Number : 724-833-9449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/27/2015

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