Individual
MRS. MICHALEEN PATRICIA SHRAWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
624 ORCHARD AVE, AVALON, PA 15202-2606
(724) 877-2582
Mailing address
591 PEABODY ROAD, APT 243, VACACILLE, CA 95687
(724) 877-2582
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT10705
CA
225200000X
Physical Therapy Assistant
TE1003054
PA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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