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1912067760
SHANE A. VATH
ANNAPOLIS, MD
NPI
1912067760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT013186L)
Enumeration Date
2006-12-11
Last Update Date
2022-10-27
Business Address
Mr. SHANE A. VATH Shane Vath, DSc PT
695 KINKAID RD
ANNAPOLIS, MD 21402-1006
Phone number: 410-293-7981
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Mailing Address
Mr. SHANE A. VATH Shane Vath, DSc PT
695 KINKAID RD
ANNAPOLIS, MD 21402-1006
Phone number: 410-293-7907
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