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1326522038
SHANE WEBER
BRADENTON, FL
NPI
1326522038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA21756)
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
SHANE WEBER PTA
1902 59TH ST W
BRADENTON, FL 34209-4602
Phone number: 941-761-1000
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Mailing Address
SHANE WEBER PTA
11826 BROOKSIDE DR
LAKEWOOD RANCH, FL 34211-4527
Phone number:
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