Individual
WILLIAM SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
3663 N LAUGHLIN RD STE 103, SANTA ROSA, CA 95403-9067
(707) 528-7999
Mailing address
3663 N LAUGHLIN RD STE 103, SANTA ROSA, CA 95403-9067
(707) 528-7999
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
09/22/2009
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