Individual
CARRIE F. SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT, ATP
Contact information
Practice address
236 BURTS RD, KIRKWOOD, NY 13795-1731
(877) 426-3307
(877) 426-3307
Mailing address
164 PIERCE CREEK RD, BINGHAMTON, NY 13903-6605
(607) 773-8809
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
015426-1
NY
Other
Enumeration date
12/14/2006
Last updated
11/09/2017
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