MS. Shanice Alicia Bancroft, PTA
MS. Shanice Alicia Bancroft, PTA is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Newark, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2021
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
271 Wainwright StNewark, NJ 07112-3073
Phone: (347) 712-8636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081S0010X · Licence 40QB00391200 (NJ) |
|---|
Record details
| NPI number | 1437819851 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PTA |
| Sole proprietor | Yes |
| NPI enumerated | December 27, 2021 |
| Last updated in NPPES | December 27, 2021 |
| Certification date | December 27, 2021 |
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