person
Toby Jason Degenhardt, PT
Military Health Care Provider in Camp Lejeune, North Carolina
NPI 1285682401

Toby Jason Degenhardt is a Military Health Care Provider based in Camp Lejeune, NC. Toby Jason Degenhardt practices in Camp Lejeune, NC and has the professional credentials of PT. The NPI Number for Toby Jason Degenhardt is 1285682401 and holds a License No. 1153286 (North Carolina).

The current practice location address for Toby Jason Degenhardt is 100 Brewster Blvd, Camp Lejeune, NC and can be reached out via phone at 910-450-4159 and via fax at 910-450-4194.

Location: 100 Brewster Blvd, Camp Lejeune, NC, 28547-2538
person
Provider Profile Details
NPI Number
1285682401
Provider Name
Toby Jason Degenhardt
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
100 Brewster Blvd, Camp Lejeune, NC, 28547-2538
Phone Number
910-450-4159
Fax Number
910-450-4194
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Brewster Blvd
City
State
Zip
28547-2538
Phone Number
910-450-4159
Fax Number
910-450-4194
person
Provider Business Mailing Address Details
Address
100 Brewster Blvd
City
State
Zip
28547-2538
Phone Number
910-450-4159
Fax Number
910-450-4194
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
1153286 (Texas)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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