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Organization
JUST KIDS REHABILITATION SERVICES LLC
Active
Organization
JUST KIDS REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J SHUTTLEWORTH P.T (PHYSICAL THERAPIST)
(724) 971-1021
Entity
Organization
Contact information
Practice address
1750 NEW BUTLER RD, SUITE D, NEW CASTLE, PA 16101-3184
(724) 971-1021
Mailing address
PO BOX 594, WAMPUM, PA 16157-0594
(724) 630-5607
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016373
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001961402
—
PA
Enumeration date
04/15/2008
Last updated
12/22/2009
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