Individual
SHIRLEY JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 HIGHWAY AVE, CONGERS, NY 10920-2519
(914) 255-6155
Mailing address
51 HIGHWAY AVE, CONGERS, NY 10920-2519
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
042651-1
NY
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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