Individual
JENNIFER SHAWVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 WALNUT ST, MCKEESPORT, PA 15132-2806
(412) 673-5005
Mailing address
625 WALNUT ST, MCKEESPORT, PA 15132-2806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1002840
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730620204
—
PA
Enumeration date
03/16/2017
Last updated
04/20/2021
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