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NPI Code Detail

MEDICARE: SHEKELIA HINES

MEDICARE:   SHEKELIA  HINES
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 TherapistJ1-0003277DE

General Provider Information

NPI Number : 1265983134
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEKELIA HINES
Provider Business Mailing Address
First Line : 1072 JUSTISON ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19801-5162
Country : US
Telephone Number : 302-575-8255
Fax Number : 302-575-8236
Provider Business Practice Location Address
First Line : 1072 JUSTISON ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19801-5162
Country : US
Telephone Number : 302-575-8255
Fax Number : 302-575-8236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2016
Last Update Date : 10/17/2016

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Directions to “ SHEKELIA HINES ” Practice Location

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