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NPI Code Detail

MEDICARE: STEVIE LYNN CALABRESE

MEDICARE: STEVIE LYNN CALABRESE
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 TherapistPT 021443PA

General Provider Information

NPI Number : 1710275755
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVIE LYNN CALABRESE
Provider Business Mailing Address
First Line : 1086 HIGHWAY 315 BLVD
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-7012
Country : US
Telephone Number : 570-823-7761
Fax Number : 570-822-8033
Provider Business Practice Location Address
First Line : 1086 HIGHWAY 315 BLVD
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-7012
Country : US
Telephone Number : 570-823-7761
Fax Number : 570-829-7761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2011
Last Update Date : 06/10/2024

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Directions to “ STEVIE LYNN CALABRESE ” Practice Location

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