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NPI Code Detail

MEDICARE: SHELLEY L NEATE PHYSICAL THERAPY

MEDICARE:   SHELLEY L NEATE  PHYSICAL THERAPY
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 TherapistPT11851CA

General Provider Information

NPI Number : 1699797530
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLEY L NEATE PHYSICAL THERAPY
Provider Business Mailing Address
First Line : 579 AUTO CENTER DR
Second Line :
City : WATSONVILLE
State : CA
Zip : 95076-3727
Country : US
Telephone Number : 831-722-9680
Fax Number : 831-724-9311
Provider Business Practice Location Address
First Line : 579 AUTO CENTER DR
Second Line :
City : WATSONVILLE
State : CA
Zip : 95076-3727
Country : US
Telephone Number : 831-722-9680
Fax Number : 831-724-9311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2006
Last Update Date : 12/03/2007

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Directions to “ SHELLEY L NEATE PHYSICAL THERAPY” Practice Location

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