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NPI Code Detail

MEDICARE: MRS. ROSANNE MARIE SHOVLIN PT

MEDICARE: MRS. ROSANNE MARIE SHOVLIN 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 Therapist3376OH

General Provider Information

NPI Number : 1700081494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSANNE MARIE SHOVLIN PT
Provider Business Mailing Address
First Line : 731 INVERNESS RD
Second Line :
City : AKRON
State : OH
Zip : 44313-4522
Country : US
Telephone Number : 330-864-6263
Fax Number :
Provider Business Practice Location Address
First Line : 575 S CLEVELAND MASSILLON RD
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-3019
Country : US
Telephone Number : 330-666-5866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. ROSANNE MARIE SHOVLIN PT” Practice Location

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