Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI # | 1346232329 |
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| LBN Legal business name | SHEA PHYSICAL THERAPY P C | ||||
| Authorized official | DANIEL SHEA - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/16/2005 | ||||
| Last updated | 09/11/2025 - About 9 months ago | ||||
| Identifiers |
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