Individual
RICHARD SHUMWAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 2ND STREET, RM 5314 USCG HQ, COMDT (CG-1122), WASHINGTON, DC 06320
(860) 444-8402
Mailing address
2100 2ND STREET, RM 5314 USCG HQ, COMDT (CG-1122), WASHINGTON, DC 06320
(860) 444-8402
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
2359
AZ
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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