NPI 1033786348
Shawn Girdham, PTA
Practice location
- Address
- 551 Lone Pine Blvd, The Dalles, OR 97058-9403
- Phone
- (541) 296-7202
- Mailing address
- 1315 E 19th St, The Dalles, OR 97058-3345
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1033786348
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jun 2021
- Record last updated
- 6 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.