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Individual

CATHERINE TUCKER SHAFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
300 MEADOWLAND DR, HILLSBOROUGH, NC 27278-8502
(919) 732-2258
Mailing address
3112 SPRUNT AVE, DURHAM, NC 27705-3023
(919) 309-7415

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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