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NPI Code Detail

MEDICARE: AMY DIANE SCHERE P.T., LCSWA

MEDICARE: AMY DIANE SCHERE P.T., LCSWA
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 Therapist035060NY
21041C0700XClinical Social WorkerP020154NC

General Provider Information

NPI Number : 1346585304
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY DIANE SCHERE P.T., LCSWA
Provider Business Mailing Address
First Line : 5401 SIX FORKS RD STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27609-4462
Country : US
Telephone Number : 919-886-4052
Fax Number :
Provider Business Practice Location Address
First Line : 5401 SIX FORKS RD STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27609-4462
Country : US
Telephone Number : 919-886-4052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2012
Last Update Date : 01/24/2024

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