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Organization
SHANE DAVIS PHYSICAL THERAPY PC
Active
Organization
SHANE DAVIS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE DAVIS DPT (PHYSICAL THERAPIST)
(315) 358-4028
Entity
Organization
Contact information
Practice address
13040 STATE ROUTE 12, BOONVILLE, NY 13309-4942
(315) 358-4028
(315) 358-4394
Mailing address
13040 STATE ROUTE 12, BOONVILLE, NY 13309-4942
(315) 358-4028
(315) 358-4186
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022935
NY
Other
Enumeration date
02/08/2013
Last updated
06/27/2025
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