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Individual

ANDREA COX SHUKLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
850 WALNUT BOTTOM RD, SUITE 306, CARLISLE, PA 17013-3632
(717) 241-2211
(717) 241-2240
Mailing address
850 WALNUT BOTTOM RD, SUITE 306, CARLISLE, PA 17013-3632
(717) 241-2211
(717) 241-2240

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
DAPT0001305
PA
225100000X
Physical Therapist
Primary
PT016337
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
098790U30
MEDICARE
PA
Enumeration date
06/26/2006
Last updated
10/15/2009
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