Individual
SHANE CHRONIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11750 SORRENTO VALLEY RD, SAN DIEGO, CA 92121-1025
(858) 299-4684
Mailing address
570 BEVERLY PL, SAN MARCOS, CA 92078-3762
(858) 334-9240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53593
CA
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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