Doctor Name: | JOSEPH LOUIS SHAFFO |
NPI Number: | 1558491126 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT005982L |
Business Practice Address: | 515 Pleasant Valley Rd Trafford, PA - 150852702 |
Business Phone Number: | 7247440499 |
Business Fax Number: | 4123747294 |
Mailing Address: | Po Box 445, HARRISON CITY |
State: | PA |
Postal Code: | 156360445 |
Phone Number: | 7247440499 |
Fax Number: | 4123747294 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT005982L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |