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Individual
MR. SHAWN MICHEAL MINICK
Active
Individual
MR. SHAWN MICHEAL MINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
9416
NC
Other
Enumeration date
02/25/2007
Last updated
04/07/2016
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