# SHEA PHYSICAL THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497947659
- **Authorized official:** PAIGE CHRISTENSEN (COMPLIANCE)
- **Authorized official phone:** (361) 994-5224

## Contact information

- **Practice address:** 5440 EVERHART RD, SUITE 1, CORPUS CHRISTI, TX 78411-4838
- **Practice address phone:** (361) 994-5224
- **Practice address fax:** (361) 992-1933
- **Mailing address:** 5440 EVERHART RD, SUITE 1, CORPUS CHRISTI, TX 78411-4838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2007
- **Last updated:** 08/13/2007