Individual
CATHERINE TUCKER SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2720
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U03370793 02
CIGNA
NC
Enumeration date
03/16/2007
Last updated
07/08/2007
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