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Individual

CYNTHIA CATHERINE SCHARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

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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