Shane Omer, DPT

NPI #1487238721 in Palmer, Alaska

Provider Information

NPI Number: 1487238721
Entity Type: Individual
Name: Shane Omer, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 12, 2021
Last Updated: Nov 16, 2022

Practice Location

Address: 304 W EVERGREEN AVE STE 101
City: Palmer
State: Alaska
ZIP Code: 99645-6970
Phone: (907) 745-8686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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