Anthony, Shane Michael

Anthony, Shane Michael is an individual health care provider with primary practice located at 1025 E West Connector Ste. 406, Austell GA 30106-8513. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Anthony, Shane Michael can be contacted via phone (770) 384-1001.

Contact Information

Primary practice address
1025 E West Connector Ste. 406 Austell GA 30106-8513
Phone: (770) 384-1001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA000604 Georgia

Profile Details

NPI number 1144501305
LBN Legal business name Anthony, Shane Michael
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2011
Last updated Sep 9th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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