Individual
MR. CORY R SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
336 BLOOMFIELD ST, JOHNSTOWN, PA 15904-3271
(814) 269-2224
(814) 269-4587
Mailing address
336 BLOOMFIELD ST, JOHNSTOWN, PA 15904-3271
(814) 269-2224
(814) 269-4587
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017524
PA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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