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NPI Code Detail

MEDICARE: KATHRYN SLEVIN P.T., DPT

MEDICARE:   KATHRYN  SLEVIN  P.T., DPT
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 TherapistPT26236FL

General Provider Information

NPI Number : 1093014086
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN SLEVIN P.T., DPT
Provider Business Mailing Address
First Line : 2062 KINGS PALACE DR
Second Line :
City : RIVERVIEW
State : FL
Zip : 33578-2129
Country : US
Telephone Number : 517-304-4056
Fax Number :
Provider Business Practice Location Address
First Line : 1501 W CLEVELAND ST
Second Line : SUITE 220
City : TAMPA
State : FL
Zip : 33606-1812
Country : US
Telephone Number : 813-805-8101
Fax Number : 813-254-3055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2011
Last Update Date : 04/12/2012

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Directions to “ KATHRYN SLEVIN P.T., DPT” Practice Location

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