Individual
EVAN BRETT SHIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
95 W MAIN ST STE 6, CHESTER, NJ 07930-2487
(908) 879-7364
(908) 879-7635
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01986800
NJ
225100000X
Physical Therapist
PT028444
PA
Other
Enumeration date
03/05/2020
Last updated
01/11/2021
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