Individual provider · Type 1 NPI
Coleen Teri Shaver
Pediatric Physical Therapist · Syracuse, NY
Practice location
4400 Cedarvale Rd
Syracuse, NY 13215-9696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 005371-1 (NY) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1801049960
Coleen Teri Shaver's National Provider Identifier is 1801049960, issued on Nov 2, 2008. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Syracuse, NY. The record was last updated on Nov 2, 2008.