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1801049960
COLEEN TERI SHAVER
SYRACUSE, NY
NPI
1801049960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: NY 005371-1)
Enumeration Date
2008-11-02
Last Update Date
2008-11-02
Business Address
-- COLEEN TERI SHAVER
4400 CEDARVALE RD
SYRACUSE, NY 13215-9696
Phone number: 315-469-3407
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Mailing Address
-- COLEEN TERI SHAVER
4400 CEDARVALE RD
SYRACUSE, NY 13215-9696
Phone number: 315-469-3407
Copy
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