Individual
RYAN SHELLENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1675 SALTSBURG AVE, INDIANA, PA 15701-3573
(724) 465-3900
Mailing address
111 ALLISON RD, PENN RUN, PA 15765-6849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004059
PA
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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