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Mr. Shane M. Hadley, AT
Specialist in Newport Beach, California
NPI 1326249772

Shane M. Hadley is a Specialist based in Newport Beach, CA. Shane M. Hadley practices in Newport Beach, CA and has the professional credentials of AT. The NPI Number for Shane M. Hadley is 1326249772 and holds a License No. AT6305 (California).

The current practice location address for Shane M. Hadley is 1000 Bristol St N Ste 25, Newport Beach, CA and can be reached out via phone at 949-250-1112 and via fax at 949-250-1401.

Location: 1000 Bristol St N Ste 25, Newport Beach, CA, 92660-8917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326249772
Provider Name
Shane M. Hadley
Credential
AT
Provider Entity Type
Individual
Gender
Male
Address
1000 Bristol St N Ste 25, Newport Beach, CA, 92660-8917
Phone Number
949-250-1112
Fax Number
949-250-1401
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AT6305 01 CA PHYSICAL THERAPIST ASSIST
institution
Provider Business Practice Location Address Details
Address
1000 Bristol St N Ste 25
City
Newport Beach
State
California
Zip
92660-8917
Phone Number
949-250-1112
Fax Number
949-250-1401
person
Provider Business Mailing Address Details
Address
1000 Bristol St N Ste 25
City
Newport Beach
State
California
Zip
92660-8917
Phone Number
949-250-1112
Fax Number
949-250-1401
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AT6305 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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