Individual
ANDREA MARIE SHANAFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
136 LAKE ST, EPHRATA, PA 17522-2415
(717) 738-7979
Mailing address
1491 JERRY LN, MANHEIM, PA 17545-9351
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017331
PA
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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