SHANNON HALSTEAD

PHOENIX, AZ
NPI1104389980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  LPT-008573)
Enumeration Date2019-04-09
Last Update Date2019-04-09
Business Address
SHANNON HALSTEAD
4202 N 20TH AVE
PHOENIX, AZ 85015-5101
Phone number: 602-264-3824
Mailing Address
SHANNON HALSTEAD
3713 N 125TH DR
AVONDALE, AZ 85392-6317
Phone number: