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1497969752
KRISTEN SHOCKLEY
SEAFORD, DE
NPI
1497969752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: DE J2-0000437)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
-- KRISTEN SHOCKLEY PTA
1100 NORMAN ESKRIDGE HWY
SEAFORD, DE 19973-1724
Phone number: 302-629-3575
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Mailing Address
-- KRISTEN SHOCKLEY PTA
22136 SHOCKLEY ROAD
MILFORD, DE 19963
Phone number:
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