Shane Henderson, DPT

NPI #1619251006 in Goshen, New York

Provider Information

NPI Number: 1619251006
Entity Type: Individual
Name: Shane Henderson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Oct 4, 2011
Last Updated: Oct 4, 2011

Practice Location

Address: 30 HATFIELD LN
Address 2: SUITE 203
City: Goshen
State: New York
ZIP Code: 10924-6766
Phone: (845) 615-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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