Individual
GIA SHIMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
70 MANHEIM AVE STE 3, BRIDGETON, NJ 08302-2136
(856) 455-9700
Mailing address
209 PORCHTOWN RD, PITTSGROVE, NJ 08318-4522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00739900
NJ
Other
Enumeration date
02/28/2006
Last updated
10/16/2007
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