| Doctor Name: | MR. CARL ANTHONY SHROM |
| NPI Number: | 1306965520 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT008668L |
| Business Practice Address: | Orwigsburg Manor 1000 Orwigsburg Manor Drive Orwigsburg, PA - 17961 |
| Business Phone Number: | 5703662999 |
| Business Fax Number: | 5703668924 |
| Mailing Address: | 140 Five Points Rd, MERTZTOWN |
| State: | PA |
| Postal Code: | 195399218 |
| Phone Number: | 6106410173 |
| Fax Number: | 6106410266 |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT008668L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |