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Individual

KRISTY LEE SHALER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
750 SE CARY PKWY, CARY, NC 27511-5682
(919) 460-9955
Mailing address
4201 PIKE RD, RALEIGH, NC 27613-4043
(919) 500-0069

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3866
NC

Other

Enumeration date
06/01/2011
Last updated
06/01/2011
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