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NPI Code Detail

MEDICARE: MRS. MEGAN MARIE SHUMAKER MPT

MEDICARE: MRS. MEGAN MARIE SHUMAKER MPT
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
12251P0200XPediatric Physical Therapist010758OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407878952
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN MARIE SHUMAKER MPT
Provider Business Mailing Address
First Line : 10011 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-4701
Country : US
Telephone Number : 216-791-8363
Fax Number :
Provider Business Practice Location Address
First Line : 10011 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-4701
Country : US
Telephone Number : 216-791-8363
Fax Number : 216-791-2539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 03/19/2009

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