MEDICARE: MR. DONALD PATRICK PASCOE

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
1	225200000X	Physical Therapy Assistant	5502004609	MI

General Provider Information

NPI Number	:	1427865419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD PATRICK PASCOE

Provider Business Mailing Address
First Line	:	15800 CANDLE DR
Second Line	:
City	:	MACOMB
State	:	MI
Zip	:	48042-2232
Country	:	US
Telephone Number	:	586-709-2277
Fax Number	:

Provider Business Practice Location Address
First Line	:	34643 KETSIN DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-5235
Country	:	US
Telephone Number	:	586-978-2280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2024
Last Update Date	:	12/13/2024

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