| Doctor Name: | CARRIE F. SHORE |
| NPI Number: | 1730241191 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT, ATP |
| License Number: | 015426-1 |
| Business Practice Address: | 1977 Marshland Rd Apalachin, NY - 137321440 |
| Business Phone Number: | 8774263307 |
| Business Fax Number: | 8774263307 |
| Mailing Address: | 164 Pierce Creek Rd, BINGHAMTON |
| State: | NY |
| Postal Code: | 139036605 |
| Phone Number: | 6077738809 |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 12/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 015426-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |