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1093912784
KATINA MARIE SHOCKLEY
WILMINGTON, DE
NPI
1093912784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: DE J20000544)
Enumeration Date
2007-06-27
Last Update Date
2009-09-29
Business Address
Miss KATINA MARIE SHOCKLEY PTA
1707 FOULK ROAD
WILMINGTON, DE 19803
Phone number: 302-856-7462
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Mailing Address
Miss KATINA MARIE SHOCKLEY PTA
2 W 10TH ST
MARCUS HOOK, PA 19061-4513
Phone number: 610-859-8850
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