Shellman INC PA
NPI #1326050253 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1326050253
- Entity Type
- Organization
- Organization Name
- Shellman INC PA
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 12, 2006
- Last Updated
- Mar 6, 2009
Practice Location
- Address
- 1917 N LAKEWOOD DR
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2634
- Phone
- (208) 664-8194
Authorized Official
- Name
- TESS ROGERS
- Title
- OFFICE MANAGER
- Phone
- (208) 664-8194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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