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Individual
MICHAEL SHADDOW
Active
Individual
MICHAEL SHADDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CERT. MDT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1881357861
NJ
2251X0800X
Orthopedic Physical Therapist
PT029965
PA
Other
Enumeration date
10/18/2021
Last updated
11/30/2023
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