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1134537798
MATTHEW SHIELDS
KENNETT SQUARE, PA
NPI
1134537798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PA TE009836)
Enumeration Date
2014-07-28
Last Update Date
2014-07-28
Business Address
Mr. MATTHEW SHIELDS PTA
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: 610-444-6350
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Mailing Address
Mr. MATTHEW SHIELDS PTA
101 E STATE ST
KENNETT SQUARE, PA 19348
Phone number:
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