Individual
MR. PAUL WILLIAM SHIMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
48 CRAYCROFT AVE, DEBARY, FL 32713-4758
(407) 375-9160
Mailing address
48 CRAYCROFT AVE, DEBARY, FL 32713-4758
(407) 375-9160
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
17408
FL
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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