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Individual
IAN SHULTIS
Active
Individual
IAN SHULTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
048547
NY
2255A2300X
Athletic Trainer
002788
NY
Other
Enumeration date
01/12/2015
Last updated
09/17/2024
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