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NPI Code Detail

MEDICARE: KATHLEEN SHROYER PT

MEDICARE: KATHLEEN SHROYER 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 TherapistPT016728PA

General Provider Information

NPI Number : 1376584664
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN SHROYER PT
Provider Business Mailing Address
First Line : 1118 LANCASTER AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15218-1013
Country : US
Telephone Number : 412-727-6261
Fax Number :
Provider Business Practice Location Address
First Line : 1405 SHADY AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15217-1350
Country : US
Telephone Number : 412-420-2124
Fax Number : 412-420-2161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 02/15/2018

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Directions to “ KATHLEEN SHROYER PT” Practice Location

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