Individual
JOSHUA TELFER
Active
Individual
JOSHUA TELFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012281A
IN
225100000X
Physical Therapist
2016032977
MO
225100000X
Physical Therapist
PT-4743
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
ANTHEM PROVIDER NUMBER - TIN 35-2030653
IN
05
—
PENDING
—
IN
Enumeration date
09/30/2016
Last updated
04/26/2017
Update your record
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