Individual
DEVON SHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
365 GEROGES RD, SUITE 4, DAYTON, NJ 08810-1639
(732) 438-3736
(732) 855-9751
Mailing address
PO BOX 1014, CLARK, NJ 07066-1014
(732) 855-9751
(732) 855-9755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01630000
NJ
Other
Enumeration date
10/28/2015
Last updated
09/11/2020
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