MEDICARE: JEAN SHEARER PT

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	225100000X	Physical Therapist	000673E	PA

General Provider Information

NPI Number	:	1619391208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN SHEARER PT

Provider Business Mailing Address
First Line	:	2052 SPRING VALLEY RD
Second Line	:
City	:	LANSDALE
State	:	PA
Zip	:	19446-5114
Country	:	US
Telephone Number	:	215-514-8016
Fax Number	:

Provider Business Practice Location Address
First Line	:	2052 SPRING VALLEY RD
Second Line	:
City	:	LANSDALE
State	:	PA
Zip	:	19446-5114
Country	:	US
Telephone Number	:	215-514-8016
Fax Number	:

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

Provider Enumeration Date	:	02/18/2014
Last Update Date	:	02/18/2014

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Directions to “ JEAN SHEARER PT” Practice Location

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