SHANNON E GILL

PORTAGE, IN
NPI1134326341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06001802A)
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
SHANNON E GILL PTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
Mailing Address
SHANNON E GILL PTA
8211 W 127TH AVE
CEDAR LAKE, IN 46303-8873
Phone number: 219-374-7157
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