Individual
RODNEY SHAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 PALM COAST PKWY SE, PALM COAST, FL 32137-8209
(386) 446-6060
Mailing address
141 BROOKHAVEN CT S, PALM COAST, FL 32164-2442
(304) 389-2006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1202
WV
225200000X
Physical Therapy Assistant
Primary
24797
FL
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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