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NPI Code Detail

MEDICARE: ALLISON SCHAFFHAUSER

MEDICARE:   ALLISON  SCHAFFHAUSER
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 Therapist1280851TX
2225100000XPhysical Therapist05012876AIN
3225100000XPhysical Therapist40QA01801100NJ

General Provider Information

NPI Number : 1780173500
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON SCHAFFHAUSER
Provider Business Mailing Address
First Line : 1109 SIMPSON TER
Second Line :
City : BEDFORD
State : TX
Zip : 76021-2317
Country : US
Telephone Number : 817-773-8534
Fax Number :
Provider Business Practice Location Address
First Line : 2 KATHLEEN DR
Second Line :
City : JACKSON
State : NJ
Zip : 08527-2269
Country : US
Telephone Number : 817-773-8534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2018
Last Update Date : 09/26/2018

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