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NPI Code Detail

MEDICARE: MS. SHELLEY DAWN SEIFERT PT

MEDICARE:  MS. SHELLEY DAWN SEIFERT  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 TherapistPT1074HI
2225100000XPhysical TherapistPT14468CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1225615OTHERHIHMSA

General Provider Information

NPI Number : 1629058722
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHELLEY DAWN SEIFERT PT
Provider Business Mailing Address
First Line : 1130 N LOUISE ST
Second Line : #8
City : GLENDALE
State : CA
Zip : 91207-1612
Country : US
Telephone Number : 818-484-5026
Fax Number :
Provider Business Practice Location Address
First Line : 1130 N LOUISE ST
Second Line : #8
City : GLENDALE
State : CA
Zip : 91207-1612
Country : US
Telephone Number : 818-484-5026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 03/25/2009

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Directions to “ MS. SHELLEY DAWN SEIFERT PT” Practice Location

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