Individual
SHANA NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 RYAN STREET, BOERNE, TX 78006
(830) 249-2594
(830) 248-1314
Mailing address
200 RYAN STREET, BOERNE, TX 78006
(830) 249-2594
(830) 248-1314
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2080959
TX
Other
Enumeration date
09/02/2018
Last updated
09/02/2018
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