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1003228263
SHANNON PATRICIA GENGENBACHER
PLAINFIELD, IL
NPI
1003228263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070019069)
Enumeration Date
2014-05-22
Last Update Date
2018-03-17
Business Address
SHANNON PATRICIA GENGENBACHER PT, DPT
14731 S VAN DYKE RD
PLAINFIELD, IL 60544-3185
Phone number: 815-267-3196
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Mailing Address
SHANNON PATRICIA GENGENBACHER PT, DPT
3614 LANDINGS RD
JOLIET, IL 60431-1597
Phone number: 610-457-0052
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