Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE WILLIAM FLORENCE, MPT
ActiveMR. SHANE WILLIAM FLORENCE, MPT is a Physical Therapy Assistant healthcare provider located in SHADYSIDE, Ohio. NPI 1568011492 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SHADYSIDE, OH
Registration Details
- NPI Number
- 1568011492
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 4, 2019 (6.949702182023 yrs)
- Last Updated
- May 27, 2020
- Licenses
-
PT002541 (WV)PT009871 (OH)
Practice Information
- Address
-
520 W 41ST STSHADYSIDE, OH, 439471171Browse OH providers · Browse ZIP 43947
- Phone
- 7402324707
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
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.