| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHAWN GIRDHAM | 1033786348 | 2021-06-06 |
Shawn Girdham is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1033786348. Registration indicates Shawn Girdham is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapy Assistant (Physical Therapy Assistant, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Shawn Girdham PTA |
| Practice Office Address | 551 LONE PINE BLVD THE DALLES, OR US |
| Practice Office Telephone | 5412967202 |
| Mailing Address | 1315 E 19TH ST THE DALLES, OR 970583345 US |
| Business Telephone | 5419808876 |
| Code | Practice | License No State |
|---|---|---|
| 225200000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant Physical Therapy Assistant Speech/Occupational/Physical Therapy/Chiropractor Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 8550
OR |