Brent Harper is a Sports in Riverside, California. Brent Harper practices all healthcare services and medical treatments related to Sports. The NPI Number for Brent Harper is 1902024169. The last update date is 2007-07-08.
Brent Harper's current location address is 4444 Magnolia Ave, Riverside, California. You can contact this provider via phone number 9516825661 and fax number 9512743411. The mailing address for Brent Harper is 4444 Magnolia Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Harper |
|---|---|
| Address | 4444 Magnolia Ave, Riverside, California |
| Phone Number | 9516825661 |
| Fax Number | 9512743411 |
| Sole Proprietor | N |
| Credentials | DPT, OCS, |
NPI Number Detail
| NPI Number | 1902024169 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4444 Magnolia Ave |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925014136 |
| Phone Number | 9516825661 |
| Fax Number | 9512743411 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT 22662 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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What is the unique identification code assigned to Brent Harper by the Centers for Medicare & Medicaid Services?
The Brent Harper has been issued the NPI (National Provider Identifier) 1902024169. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brent Harper?
The Brent Harper is physically situated at 4444 Magnolia Ave, in the city of Riverside, state of CA, with the postal code 925014136.
What is Brent Harper's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brent Harper's specialized field of practice is Sports, and the corresponding taxonomy code that categorizes this area of specialization is 2251S0007X.
On what date did the Brent Harper receive the assignment of its 1902024169 from the Centers for Medicare & Medicaid Services?
The Brent Harper was issued its 1902024169 by the Centers for Medicare & Medicaid Services on 2007-04-23.
As of what date were the Brent Harper's details last updated?
The information pertaining to the Brent Harper, including its address, specialty, and other details, was most recently updated on 2007-07-08.