Provider Demographics
NPI:1760604755
Name:SHEKHTERMAN, TATYANA (MS PT)
Entity Type:Individual
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First Name:TATYANA
Middle Name:
Last Name:SHEKHTERMAN
Suffix:
Gender:F
Credentials:MS PT
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Mailing Address - Street 1:408 LAKEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-1935
Mailing Address - Country:US
Mailing Address - Phone:215-752-3089
Mailing Address - Fax:
Practice Address - Street 1:9880 BUSTLETON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-2185
Practice Address - Country:US
Practice Address - Phone:215-827-1650
Practice Address - Fax:215-827-1651
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2012-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT018273225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist