Dr. Shaniece Degazon
Physical Therapist
45 South Ave W Ste 101
Cranford
, New Jersey 07016-2686
Dr. Shaniece Degazon
Physical Therapist
45 South Ave W Ste 101
Cranford
, New Jersey 07016-2686
(609) 558-5333
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Dr. Shaniece Degazon
- 91 Woodhaven Dr
- Wayne, NJ
- Zip : 07470-5166
- Phone : (609) 558-5333
Second Address
- Dr. Shaniece Degazon
- 45 South Ave W Ste 101
- Cranford, NJ
- Zip : 07016-2686
- Phone : (908) 709-7300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 40QA01788400 | NJ |
National Provider Identifier
| NPI | 1003308206 |
|---|---|
| Provider Name | Dr. Shaniece Degazon |
| First Address | Wayne, NJ 07470-5166 |
| Second Address | Cranford, NJ 07016-2686 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2018 |
| Last Update Date | 04/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.