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Contact Information

CHARLES SHANESY III, PT
3817 COLONEL GLENN HWY
BEAVERCREEK, OH45324
 Phone: 937-427-9200
 Fax: 513-755-3762
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CHARLES SHANESY III · (Male)

NPI Number 1770034738
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 10/14/2016
Last updated 08/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OH Medicaid 2187155
  • OH Other AB7360731 MEDICARE PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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