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NPI Code Detail

MEDICARE: MRS. HEIDI SCHLITTLER-SMITH PTA

MEDICARE:  MRS. HEIDI  SCHLITTLER-SMITH  PTA
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
1225200000XPhysical Therapy Assistant7898MA

General Provider Information

NPI Number : 1225150832
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEIDI SCHLITTLER-SMITH PTA
Provider Business Mailing Address
First Line : 15A HIGH ST
Second Line :
City : PEPPERELL
State : MA
Zip : 01463-1617
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3 PARK DR
Second Line :
City : WESTFORD
State : MA
Zip : 01886-3511
Country : US
Telephone Number : 978-392-1144
Fax Number : 978-392-0032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. HEIDI SCHLITTLER-SMITH PTA” Practice Location

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