KIRK PATRICK SHEA

LA GRANDE, OR
NPI1619485406
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  08979)
Enumeration Date2018-01-16
Last Update Date2018-01-16
Business Address
KIRK PATRICK SHEA
91 ARIES LN
LA GRANDE, OR 97850-3309
Phone number: 541-963-8678
Mailing Address
KIRK PATRICK SHEA
91 ARIES LN
LA GRANDE, OR 97850-3309
Phone number: