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Individual
KATHY J SHUFFLEBARGER
Active
Individual
KATHY J SHUFFLEBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
PT1944
FL
225100000X
Physical Therapist
Primary
PT1944
FL
2251P0200X
Pediatric Physical Therapist
PT0001944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1342502
INDIVIDUAL CITRUS HEALTH
FL
05
—
880329300
—
FL
01
—
PT1944
FLORIDA PT LICENSE
FL
01
—
Y905L
BCBS FL
FL
Enumeration date
08/17/2006
Last updated
01/13/2011
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