Jonathan Philip Shafer
Jonathan Philip Shafer is a Physical Therapy Assistant in Newburgh, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
17 N Plank Rd Ste 10Newburgh, NY 12550-2111
Phone: (845) 800-9305
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Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 010372-1 (NY) |
|---|
Record details
| NPI number | 1083205777 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 27, 2021 |
| Last updated in NPPES | January 27, 2021 |
| Certification date | January 27, 2021 |
| Mailing address | 1653 Ratzer Rd, Wayne, NJ 07470-2437 |
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Sheryl Mayo
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Letha Varghese
17 N Plank Rd Ste 10, Newburgh, NY 12550-2111 · (845) 800-9305