SHADERRE LASSITER

WILKES BARRE, PA
NPI1508737073
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: PA  61133)
Enumeration Date2025-09-16
Last Update Date2025-09-17
Business Address
-- SHADERRE LASSITER
182 BUTLER ST
WILKES BARRE, PA 18702-4465
Phone number: 888-510-2095
Mailing Address
-- SHADERRE LASSITER
423 SCOTT ST APT 2
WILKES BARRE, PA 18702-5539
Phone number: 888-510-2095