Individual
JASON SHOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 CHANDRA DR., DUNCANNON, PA 17020
(717) 834-4111
Mailing address
102 CHANDRA DR, DUNCANNON, PA 17020-9745
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004733
PA
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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