Individual
DR. CONNOR PATRICK SHADISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ACSM-EP
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(877) 771-4847
Mailing address
3 BISHOP ALY, CECIL, PA 15321-1199
(724) 678-3535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT030211
PA
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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