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NPI Code Detail

MEDICARE: SHEILA MARIE POLCYN P.T.

MEDICARE:   SHEILA MARIE POLCYN  P.T.
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 Therapist5501004100MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P55360005OTHERMIMEDICARE PTAN

General Provider Information

NPI Number : 1649452228
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA MARIE POLCYN P.T.
Provider Business Mailing Address
First Line : 141 HAMPTON CIR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-4103
Country : US
Telephone Number : 248-853-7555
Fax Number :
Provider Business Practice Location Address
First Line : 141 HAMPTON CIR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-4103
Country : US
Telephone Number : 248-853-7555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2007
Last Update Date : 07/13/2016

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Directions to “ SHEILA MARIE POLCYN P.T.” Practice Location

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