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NPI Code Detail

MEDICARE: PAULETTE SCHUBART PT

MEDICARE: PAULETTE SCHUBART 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 Therapist5501006172MI

General Provider Information

NPI Number : 1346472610
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULETTE SCHUBART PT
Provider Business Mailing Address
First Line : 1222 NORTH DRIVE
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-3200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1222 NORTH DR
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-3200
Country : US
Telephone Number : 989-779-5551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2009
Last Update Date : 08/19/2009

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Directions to “ PAULETTE SCHUBART PT” Practice Location

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