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Individual
MRS. THERESA A SCHUSTER
Active
Individual
MRS. THERESA A SCHUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009090E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1919042
BLUE SHIELD
—
01
—
820810
FIRST PRIORITY
—
01
—
820854
FIRST PRIORITY
—
01
—
820855
FIRST PRIORITY
—
Enumeration date
11/28/2006
Last updated
07/08/2007
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