Individual provider · Type 1 NPI

Devan Alexander Shambo, DPT

Orthopedic Physical Therapist · Ithaca, NY

NPI number 1609409358 Active

Practice location

310 Taughannock Blvd
Ithaca, NY 14850-3251

Mailing address

101 Uptown Rd Apt 31
Ithaca, NY 14850-1602

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X045562 (NY)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1609409358

Devan Alexander Shambo, DPT's National Provider Identifier is 1609409358, issued on Feb 20, 2020. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Ithaca, NY. The record was last updated on Feb 20, 2020.