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Individual

JUSTINE SHANER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1930 CLIFFSIDE DR, STATE COLLEGE, PA 16801-7662
(814) 238-3139
Mailing address
215 CHADHAM CT, BELLEFONTE, PA 16823-7612

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
TE010711
PA
225200000X
Physical Therapy Assistant
Primary
TEI004991
PA

Other

Enumeration date
08/25/2015
Last updated
04/23/2018
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