Individual
MR. GARY DARELL SHIELDS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3740 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-3223
(610) 355-7623
(610) 355-7623
Mailing address
156 OLD KENNETT RD, KENNETT SQUARE, PA 19348-2632
(610) 444-8648
(610) 444-8649
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT001156E
PA
Other
Enumeration date
05/01/2006
Last updated
07/08/2007
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