Individual
JOSHUA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 HERDNER RD UNIT C, TAOS, NM 87571-5362
(575) 613-1093
Mailing address
25273 BETHESDA RD, GEORGETOWN, DE 19947-2545
(443) 366-5934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0001285
DE
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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