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NPI Code Detail

MEDICARE: PROF. SARAH JEAN HEHIR P.T.

MEDICARE:  PROF. SARAH JEAN HEHIR  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 Therapist070.015584IL
2225100000XPhysical Therapist5501018983MI

General Provider Information

NPI Number : 1831215961
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. SARAH JEAN HEHIR P.T.
Provider Business Mailing Address
First Line : 626 INDIAN PATH RD
Second Line :
City : GRAYSLAKE
State : IL
Zip : 60030-3517
Country : US
Telephone Number : 231-342-4517
Fax Number :
Provider Business Practice Location Address
First Line : 415 MUNSON AVE STE 101
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-3059
Country : US
Telephone Number : 231-486-6330
Fax Number : 231-486-6329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 11/14/2019

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Directions to “ PROF. SARAH JEAN HEHIR P.T.” Practice Location

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