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NPI Code Detail

MEDICARE: TEMIKA SHEA ROWELL

MEDICARE: TEMIKA SHEA ROWELL
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
1222Q00000XDevelopmental Therapist
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1902267818
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEMIKA SHEA ROWELL
Provider Business Mailing Address
First Line : 500 FAIRWAY DR STE 102
Second Line :
City : DEERFIELD BCH
State : FL
Zip : 33441-1817
Country : US
Telephone Number : 888-880-9270
Fax Number :
Provider Business Practice Location Address
First Line : 421 FAYETTEVILLE ST
Second Line :
City : RALEIGH
State : NC
Zip : 27601-1792
Country : US
Telephone Number : 888-880-9270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2016
Last Update Date : 01/30/2018

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Directions to “ TEMIKA SHEA ROWELL ” Practice Location

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