Stephen Bernard Deuley, | |
8501 Peppermill Run, Chagrin Falls, OH 44023-1863 | |
(216) 401-7520 | |
Not Available |
Full Name | Stephen Bernard Deuley |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 8501 Peppermill Run, Chagrin Falls, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508580556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3921 (Ohio) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689194755 PECOS PAC ID: 6507832573 Enrollment ID: O20170822000887 |
Mailing Address | Practice Location Address |
---|---|
Stephen Bernard Deuley, 8501 Peppermill Run, Chagrin Falls, OH 44023-1863 Ph: (216) 401-7520 | Stephen Bernard Deuley, 8501 Peppermill Run, Chagrin Falls, OH 44023-1863 Ph: (216) 401-7520 |
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