Individual
MRS. DENISE FAVREAU SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1051 LAS TABLAS RD, TEMPLETON, CA 93465-5603
(805) 434-4885
Mailing address
1380 SHANE LN, TEMPLETON, CA 93465-3615
(805) 434-3478
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2320
CA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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