Individual
MRS. STEPHANIE SHAW DIGIOVANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 337-2230
Mailing address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 337-2230
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0220411
NY
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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