MEDICARE: MAUREEN D SYMES 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
1	225100000X	Physical Therapist	3950	OR

General Provider Information

NPI Number	:	1679794747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN D SYMES PT

Provider Business Mailing Address
First Line	:	1905 MTN VW LN STE 400
Second Line	:
City	:	FOREST GROVE
State	:	OR
Zip	:	97116-2264
Country	:	US
Telephone Number	:	503-357-2187
Fax Number	:	503-357-2187

Provider Business Practice Location Address
First Line	:	1905 MTN VW LN STE 400
Second Line	:
City	:	FOREST GROVE
State	:	OR
Zip	:	97116-2264
Country	:	US
Telephone Number	:	503-357-2187
Fax Number	:	503-357-2187

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	02/06/2008

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Directions to “ MAUREEN D SYMES PT” Practice Location

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