SHANE SHORTALL

CARMEL, IN
NPI1649055328
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06006676A)
Enumeration Date2023-08-30
Last Update Date2023-08-30
Business Address
SHANE SHORTALL PTA
118 MEDICAL DR
CARMEL, IN 46032-3323
Phone number: 317-573-1037
Mailing Address
SHANE SHORTALL PTA
118 MEDICAL DR
CARMEL, IN 46032-3323
Phone number:
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