Individual
DANA P SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
625 LINCOLN AVE, SUITE 107 PROFESSIONAL PLAZA, CHARLEROI, PA 15022-2451
(724) 483-1673
(724) 483-0290
Mailing address
625 LINCOLN AVE, SUITE 107 PROFESSIONAL PLAZA, CHARLEROI, PA 15022-2451
(724) 483-1673
(724) 483-0290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019273
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015935850001
—
PA
05
—
0016749970003
—
PA
01
—
396610
MEDICARE
PA
01
—
396751
MEDICARE
PA
Enumeration date
11/10/2006
Last updated
02/11/2009
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