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NPI Code Detail

MEDICARE: MRS. SHERYL L MORESCO PT

MEDICARE: MRS. SHERYL L MORESCO 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 Therapist1142586TX

General Provider Information

NPI Number : 1043524564
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHERYL L MORESCO PT
Provider Business Mailing Address
First Line : PO BOX 2306
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-7306
Country : US
Telephone Number : 817-594-9200
Fax Number : 817-594-9202
Provider Business Practice Location Address
First Line : 879 EUREKA ST
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5807
Country : US
Telephone Number : 817-594-9200
Fax Number : 817-594-9202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2010
Last Update Date : 07/27/2010

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Directions to “ MRS. SHERYL L MORESCO PT” Practice Location

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