Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACK M. SHANO, RPT

Active

Physical Therapy Assistant · WOODLAND HILLS, CA

Registration Details

NPI Number: 1407879265
Provider Type: Individual
Gender: Male
NPI Issued: Jul 25, 2006 (19.7412174823 yrs)
Last Updated: Jul 8, 2007
License: PT3035 (CA)

Practice Information

Address: 23067 VENTURA BLVD STE A

WOODLAND HILLS, CA, 913641150
Browse CA providers · Browse ZIP 91364
Phone: 8182239985
Fax: 8182239986
Primary Specialty: Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in WOODLAND HILLS, CA

Name	Credential	NPI
MR. TERRY M GILLETTE	P.T.	1740267905
SHAUNA ABBEY	P.T.	1912928144
MRS. LAUREN MIKAILYAN KIRAMITTCHIAN	D.P.T.	1831100957
RODNEY K SHOREY	P.T.	1154420610
ANDREW DROLL	PT	1992898365
DEREK LEE BIESHEUVEL	RPT	1598842700

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.