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NPI Code Detail

MEDICARE: SHANE CHAPMAN

MEDICARE: SHANE CHAPMAN
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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1366100208
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANE CHAPMAN
Provider Business Mailing Address
First Line : PO BOX 65
Second Line :
City : RENO
State : PA
Zip : 16343-0065
Country : US
Telephone Number : 814-221-7724
Fax Number :
Provider Business Practice Location Address
First Line : 10 VO TECH DR
Second Line :
City : OIL CITY
State : PA
Zip : 16301-3502
Country : US
Telephone Number : 877-556-4123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2021
Last Update Date : 12/07/2021

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Directions to “ SHANE CHAPMAN ” Practice Location

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