Individual
CYNTHIA CATHERINE SCHARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1501 N MILFORD RD STE 201, MILFORD, MI 48381-1049
(248) 676-0666
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(219) 844-8100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070018363
IL
225100000X
Physical Therapist
Primary
5501013260
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501013260
STATE LICENSE NUMBER
MI
01
—
ON45090
MEDICARE GRP PTAN
MI
01
—
P01054132
MEDICARE RAILROAD
IL
Enumeration date
02/05/2009
Last updated
11/07/2024
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