Individual
SCOTT SHAFFER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
495 W PATRIOT ST, SOMERSET, PA 15501-1503
(814) 445-4549
Mailing address
259 BANDO RD, SOMERSET, PA 15501-4801
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008945
PA
Other
Enumeration date
01/05/2019
Last updated
01/05/2019
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