Individual
JIANYI JIM SHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
138 SERVICE RD, STE Z114, EAST LANSING, MI 48824-1313
(517) 355-7648
Mailing address
D128 W FEE HALL, EAST LANSING, MI 48824-1315
(517) 355-3503
(517) 432-1167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MI
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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