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Individual
SHANE CERVONE
Active
Individual
SHANE CERVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CT
2255A2300X
Athletic Trainer
Primary
—
MA
Other
Enumeration date
02/27/2022
Last updated
06/01/2026
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