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SHANE RAVENELLE, PT, DPT
PT, DPT
Physical Therapist
NPI: 1780229898IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
297650(CA)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 24301 MUIRLANDS BLVD STE T
LAKE FOREST, CA 92630 - Phone
- (949) 271-0012
Quick Facts
- NPI
- 1780229898
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 7
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