Individual
SHIJO ALIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 MIDDLE HOLLAND RD, HOLLAND, PA 18966-4822
(215) 322-6100
Mailing address
1951 KING ARTHUR RD, PHILADELPHIA, PA 19116-3837
(267) 632-5797
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE011502
PA
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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