Individual
BRIAN SHIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4552
Mailing address
401 TOBEY RD, APALACHIN, NY 13732-4401
(607) 341-1763
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT33101
FL
225100000X
Physical Therapist
PTO12522L
PA
Other
Enumeration date
03/18/2010
Last updated
03/06/2019
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