Most Relevant Information
Provider Data
| NPI Number: | 1003352667 |
| Provider Name: | SHAWN FCASNI ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | RT003212 |
Most Important Dates
| Enumeration Date: | 01/06/2017 |
| Last Updated: | 01/06/2017 |
Provider Practice Location
1 CITIZENS BANK WAY
PHILADELPHIA
PA
191485205
Practice Location Phone/Fax
| Phone: | 2152185237 |
| Fax: |
Provider Mailing Location
1 FREEDOM PL
SEWELL
NJ
080801747
Provider Mailing Phone/Fax
| Phone: | 2152185237 |
| Fax: |