Individual
PATRICIA MAE SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8603 BROADWAY ST, SUITE 101, PEARLAND, TX 77584-8171
(832) 658-5160
(832) 658-5164
Mailing address
8603 BROADWAY ST, SUITE 101, PEARLAND, TX 77584-8171
(832) 658-5160
(832) 658-5164
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2086031
TX
Other
Enumeration date
11/01/2006
Last updated
10/06/2015
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