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Individual
TEGAN SCHUMACHER
Active
Individual
TEGAN SCHUMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
753210
MEDICARE GROUP
IL
01
—
CF2064
RAILROAD GROUP
—
01
—
K32924
MEDICARE
—
Enumeration date
10/19/2006
Last updated
02/26/2008
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