Gregory B Shasby PHD, PT

NPI 1003906793 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1003906793
Gender Male
Enumeration Date 10/13/2006
Last Updated 07/19/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
10128 W BROAD ST
FORUM BLDG III, SUITE K
GLEN ALLEN VA, 23060-6761, US
Phone (804) 217-9210
Fax (804) 217-9213
Business Location
771 PILOT HOUSE DR
NEWPORT NEWS VA, 23606-1990, US
Phone (757) 873-2302
Fax (757) 873-2306
Toxanomy
Taxonomy Code 208100000X
License State Kentucky
License Number 004092
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According to our database, Gregory B Shasby PHD, PT NPI is 1003906793, taxonomy code is 208100000X and license number is 004092, license state is located at Kentucky. Gregory B Shasby PHD, PT physically located at 10128 W Broad St, Glen Allen VA, 23060-6761. NPI Number Gregory B Shasby PHD, PT has the Individual type.

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1003906793 NPI number is provided on an as is basis without warranty of any kind. 1003906793 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory B Shasby PHD, PT are for informational purposes only.