Doctor Name: | SUSAN SHANLEY |
NPI Number: | 1073669826 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 4318 |
Business Practice Address: | 61 Quaker Meeting House Rd Sandwich, MA - 025632400 |
Business Phone Number: | 5084778550 |
Business Fax Number: | 5084776989 |
Mailing Address: | 349 Old Jail Lane, BARNSTABLE |
State: | MA |
Postal Code: | 02630 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4318 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |