Individual
MRS. CHARLENE MARGARET SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20 PLANTATION DR, JAFFREY, NH 03452-6631
(603) 532-8762
Mailing address
25 RIDGECREST RD, JAFFREY, NH 03452-5759
(603) 532-5805
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0883
NH
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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