Provider Demographics
NPI:1780177667
Name:FERREY, SHONA M
Entity type:Individual
Prefix:
First Name:SHONA
Middle Name:M
Last Name:FERREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 FELLOWS ST
Mailing Address - Street 2:
Mailing Address - City:SHICKSHINNY
Mailing Address - State:PA
Mailing Address - Zip Code:18655-1108
Mailing Address - Country:US
Mailing Address - Phone:570-417-9749
Mailing Address - Fax:855-232-8404
Practice Address - Street 1:25 FELLOWS ST
Practice Address - Street 2:
Practice Address - City:SHICKSHINNY
Practice Address - State:PA
Practice Address - Zip Code:18655-1108
Practice Address - Country:US
Practice Address - Phone:570-417-9749
Practice Address - Fax:855-232-8404
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA024646225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist