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NPI Code Detail

MEDICARE: MR. SCOTT ANDREW SHANLIAN P.T.

MEDICARE:  MR. SCOTT ANDREW SHANLIAN  P.T.
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 Therapist5501009671MI

General Provider Information

NPI Number : 1437231198
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SCOTT ANDREW SHANLIAN P.T.
Provider Business Mailing Address
First Line : 3901 BAY RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2438
Country : US
Telephone Number : 989-797-6040
Fax Number : 989-797-6054
Provider Business Practice Location Address
First Line : 3901 BAY RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2438
Country : US
Telephone Number : 989-797-6040
Fax Number : 989-797-6054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 07/08/2007

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Directions to “ MR. SCOTT ANDREW SHANLIAN P.T.” Practice Location

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