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NPI Code Detail

MEDICARE: JEAN SHEARER PT

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
1225100000XPhysical Therapist000673EPA

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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