Individual provider · Type 1 NPI
Shane Famille, PT, ATC
Sports Physical Therapist · Glendora, NJ
Practice location
17 11th Ave
Glendora, NJ 08029-1333
Fax (856) 427-9314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00125600 (NJ) |
| Sports Physical Therapist Primary | 2251S0007X | 40QA01317800 (NJ) |
Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…
About NPI 1689781593
Shane Famille, PT, ATC's National Provider Identifier is 1689781593, issued on Aug 24, 2006. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Glendora, NJ. The record was last updated on Feb 1, 2010.