Individual
SHAI SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
3402 NW 2ND ST, GAINESVILLE, FL 32609-2270
(415) 299-2086
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64998
OR
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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