SHANE NIBLEY

Rehabilitation Practitioner

NPI: 1255200846Individual

Specialties, Licenses & Credentials

Case Manager/Care Coordinator

Case Manager/Care Coordinator

Code: 171M00000X

Rehabilitation PractitionerPrimary

Rehabilitation Practitioner

Code: 225400000X

Day Training/Habilitation Specialist

Day Training/Habilitation Specialist

Code: 373H00000X

Contact & Hours

Address: 3079 HARRISON AVE
SOUTH LAKE TAHOE, CA 96150
Phone: (530) 957-6254

Quick Facts

NPI: 1255200846
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 3
Locations: 1

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