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Individual
SHANE CONNOR
Active
Individual
SHANE CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007919
KY
225100000X
Physical Therapist
2305216110
VA
225100000X
Physical Therapist
Primary
PT016973
GA
225100000X
Physical Therapist
PT028251
PA
Other
Enumeration date
02/13/2020
Last updated
02/01/2024
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