Patrick Shanahan, PT

NPI #1174860621 in Centereach, New York

Provider Information

NPI Number: 1174860621
Entity Type: Individual
Name: Patrick Shanahan, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 3, 2013
Last Updated: Jan 3, 2013

Practice Location

Address: 141 MARK TREE RD
City: Centereach
State: New York
ZIP Code: 11720-2221
Phone: (631) 467-4235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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