LUCAS J SHALLENBERGER

BRADENTON, FL
NPI1568944692
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT33944)
Enumeration Date2018-09-05
Last Update Date2019-09-03
Business Address
LUCAS J SHALLENBERGER
6015 POINTE WEST BLVD STE 201
BRADENTON, FL 34209-5543
Phone number: 941-782-2000
Mailing Address
LUCAS J SHALLENBERGER
4442 5TH ST W
BRADENTON, FL 34207-1531
Phone number: