Most Relevant Information
Provider Data
| NPI Number: | 1003296997 |
| Provider Name: | SHERLEY VASQUEZ LPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT017459 |
Most Important Dates
| Enumeration Date: | 06/04/2015 |
| Last Updated: | 06/04/2015 |
Provider Practice Location
201 SWATARA RD
SHENANDOAH
PA
179761232
Practice Location Phone/Fax
| Phone: | 5709853160 |
| Fax: |
Provider Mailing Location
201 SWATARA RD
SHENANDOAH
PA
179761232
Provider Mailing Phone/Fax
| Phone: | 5709853160 |
| Fax: |