SHANNON LEE BAIS

HACKENSACK, NJ
NPI1104226646
Former NameSHANNON LEE POST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: NJ  40QA01570100)
Enumeration Date2014-09-03
Last Update Date2018-03-21
Business Address
SHANNON LEE BAIS PT, DPT
605 MAIN ST
HACKENSACK, NJ 07601-5914
Phone number: 201-488-0488
Mailing Address
SHANNON LEE BAIS PT, DPT
239 BROWN AVE
PROSPECT PARK, NJ 07508-1842
Phone number: 973-557-5790
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