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NPI Code Detail

MEDICARE: MRS. SHAWN DENISE STEELE LPTA

MEDICARE: MRS. SHAWN DENISE STEELE LPTA
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
1225200000XPhysical Therapy Assistant2306001219VA

General Provider Information

NPI Number : 1831380625
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHAWN DENISE STEELE LPTA
Provider Business Mailing Address
First Line : 932 STONEMEADOW DR
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-2399
Country : US
Telephone Number : 804-852-4594
Fax Number :
Provider Business Practice Location Address
First Line : 7090 COVENANT WDS DR
Second Line : REHAB DEPARTMENT
City : MECHANICSVILLE
State : VA
Zip : 23111-7025
Country : US
Telephone Number : 804-569-8697
Fax Number : 804-569-8686
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2007
Last Update Date : 08/06/2007

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