Individual
TIARA D. SHIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
845 WATER STREET, NORTHUMBERLAND, PA 17857-0064
(570) 473-3912
(570) 473-8731
Mailing address
PO BOX 64, 845 WATER STREET, NORTHUMBERLAND, PA 17857-0064
(570) 473-3912
(570) 473-8731
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT019919
PA
Other
Enumeration date
06/19/2009
Last updated
10/21/2010
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