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Individual
JORI L SHEA
Active
Individual
JORI L SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070010526
IL
225100000X
Physical Therapist
11584-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386873248
—
WI
01
—
539320003
MEDICARE
IL
01
—
859400060
MEDICARE
WI
01
—
IL6237004
MEDICARE
IL
01
—
IL6238004
MEDICARE
IL
01
—
IL6697007
MEDICARE
IL
Enumeration date
07/13/2009
Last updated
10/04/2012
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