Individual
PAIGE LOGAN SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 RATZER RD, WAYNE, NJ 07470-2437
(563) 210-9990
Mailing address
17 N PLANK RD STE 10, NEWBURGH, NY 12550-2111
(845) 800-9305
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010431-1
NY
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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