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NPI Code Detail

MEDICARE: JESSICA SCHAPPELLE

MEDICARE: JESSICA SCHAPPELLE
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
12251X0800XOrthopedic Physical TherapistPT028796PA

General Provider Information

NPI Number : 1801491105
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA SCHAPPELLE
Provider Business Mailing Address
First Line : 475 ALLENDALE RD STE 206
Second Line :
City : KING OF PRUSSIA
State : PA
Zip : 19406-1495
Country : US
Telephone Number : 610-270-0370
Fax Number : 610-270-0374
Provider Business Practice Location Address
First Line : 331 WILMINGTON W CHESTER PIKE
Second Line :
City : GLEN MILLS
State : PA
Zip : 19342-8210
Country : US
Telephone Number : 610-558-5866
Fax Number : 610-558-6103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2020
Last Update Date : 12/03/2020

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