Individual
SHANE CHANPIMOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
4014 3RD ST NW, WASHINGTON, DC 20011-4804
(302) 377-6443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023864
PA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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