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NPI Code Detail

MEDICARE: MRS. SHARI MCGILL PTA

MEDICARE: MRS. SHARI MCGILL PTA
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
1225200000XPhysical Therapy Assistant003255-1NY

General Provider Information

NPI Number : 1417590803
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARI MCGILL PTA
Provider Business Mailing Address
First Line : 101 SUNFLOWER DR
Second Line :
City : LIVERPOOL
State : NY
Zip : 13088-5610
Country : US
Telephone Number : 315-451-1171
Fax Number :
Provider Business Practice Location Address
First Line : 7740 MEIGS RD
Second Line :
City : BALDWINSVILLE
State : NY
Zip : 13027-9757
Country : US
Telephone Number : 315-638-2521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2019
Last Update Date : 10/18/2019

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