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Individual
CARRIE ANN RUBERTINO SHEARER
Active
Individual
CARRIE ANN RUBERTINO SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C, P.T.
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
25878
CA
2251X0800X
Orthopedic Physical Therapist
Primary
12302
NC
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079802470
NATABOC
—
01
—
12302
PHYSICAL THERAPIST
NC
01
—
1629
LICENSED ATHLETIC TRAINER
NC
01
—
25878
PHYSICAL THERAPY
CA
Enumeration date
11/30/2006
Last updated
06/01/2010
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