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NPI Code Detail

MEDICARE: MISS ALA MARIE SHUMAN P.T.

MEDICARE: MISS ALA MARIE SHUMAN 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 Therapist07642OH
2225100000XPhysical Therapist029440NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H440230OTHEROHMEDICARE PTAN

General Provider Information

NPI Number : 1588630412
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ALA MARIE SHUMAN P.T.
Provider Business Mailing Address
First Line : 70 S CLEVELAND AVE
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-1397
Country : US
Telephone Number : 614-890-6555
Fax Number : 614-823-8881
Provider Business Practice Location Address
First Line : 70 S CLEVELAND AVE
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-1397
Country : US
Telephone Number : 614-890-6555
Fax Number : 614-823-8881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 12/15/2015

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