MEDICARE: SH THERAPY & LYMPHEDEMA LLC

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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1760074868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SH THERAPY & LYMPHEDEMA LLC

Provider Business Mailing Address
First Line	:	1750 N BAYSHORE DR APT 2502
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33132-3209
Country	:	US
Telephone Number	:	610-457-1173
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 N BAYSHORE DR APT 2502
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33132-3209
Country	:	US
Telephone Number	:	610-457-1173
Fax Number	:

Authorized Official
Title or Position	:	OT
Name	:	STEPHANIE L HILL
Credential	:	OT
Telephone Number	:	610-457-1173

Provider Enumeration Date	:	02/09/2021
Last Update Date	:	02/09/2021

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