Provider Demographics
NPI:1972837870
Name:SHEKER, MARIA VICTORIA LIM (MPT)
Entity Type:Individual
Prefix:
First Name:MARIA VICTORIA
Middle Name:LIM
Last Name:SHEKER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1740 MARCO POLO WAY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-4522
Mailing Address - Country:US
Mailing Address - Phone:650-552-9355
Mailing Address - Fax:650-652-1951
Practice Address - Street 1:1740 MARCO POLO WAY
Practice Address - Street 2:SUITE 3
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4522
Practice Address - Country:US
Practice Address - Phone:650-552-9355
Practice Address - Fax:650-652-1951
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPT19646225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist