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SHANE FAMILLE, PT, ATC
PT, ATC
Sports Physical Therapist
NPI: 1689781593IndividualAccepts Medicare
Specialties, Licenses & Credentials
Athletic Trainer
Specialist/Technologist — Athletic Trainer
Code: 2255A2300X
25MT00125600(NJ)
Sports Physical TherapistPrimary
Physical Therapist — Sports
Code: 2251S0007X
40QA01317800(NJ)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2009
Contact & Hours
- Address
- 17 11TH AVE
GLENDORA, NJ 08029 - Phone
- (856) 216-0047
Quick Facts
- NPI
- 1689781593
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 17
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