MEDICARE: ASHLEY SCHECTER 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
1	2251G0304X	Geriatric Physical Therapist	PT023302	PA

General Provider Information

NPI Number	:	1174930630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY SCHECTER DPT

Provider Business Mailing Address
First Line	:	1326 SPRUCE ST
Second Line	:	APT 2906
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5826
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1326 SPRUCE ST
Second Line	:	APT 2906
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5826
Country	:	US
Telephone Number	:	239-273-2421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2014
Last Update Date	:	07/16/2014

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