Organization
SHEA PHYSICAL THERAPY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SHEA PHYSICAL THERAPIST (ADMINISTRATOR)
(361) 994-5224
Entity
Organization
Contact information
Practice address
5440 EVERHART RD, ST 1, CORPUS CHRISTI, TX 78411-4838
(361) 994-5224
(361) 992-1933
Mailing address
5440 EVERHART RD, ST 1, CORPUS CHRISTI, TX 78411-4838
(361) 994-5224
(361) 992-1933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
TX
225X00000X
Occupational Therapist
—
TX
225XH1200X
Hand Occupational Therapist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021BG
BC BS GROUP #
TX
Enumeration date
08/16/2005
Last updated
09/11/2025
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