MR. Jack M. Shano, RPT

NPI #1407879265 in Woodland Hills, California

Provider Information

NPI Number: 1407879265
Entity Type: Individual
Name: MR. Jack M. Shano, RPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: RPT
Enumeration Date: Jul 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 23067 VENTURA BLVD STE A
City: Woodland Hills
State: California
ZIP Code: 91364-1150
Phone: (818) 223-9985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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