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NPI Code Detail

MEDICARE: SHAWN J CASALVERA PTA

MEDICARE: SHAWN J CASALVERA PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantJ2-0000328DE

General Provider Information

NPI Number : 1235256504
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN J CASALVERA PTA
Provider Business Mailing Address
First Line : 8 PEREGRINE WAY
Second Line :
City : MIDDLETOWN
State : DE
Zip : 19709-9169
Country : US
Telephone Number : 302-376-0972
Fax Number :
Provider Business Practice Location Address
First Line : 1080 SILVER LAKE BLVD
Second Line :
City : DOVER
State : DE
Zip : 19904-2410
Country : US
Telephone Number : 302-734-5990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 07/08/2007

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Directions to “ SHAWN J CASALVERA PTA” Practice Location

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