SHANNON STEPHEN

VAN BUREN, AR
NPI1275739013
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  619)
Enumeration Date2007-06-26
Last Update Date2007-07-08
Business Address
-- SHANNON STEPHEN PTA
521 MAIN ST
VAN BUREN, AR 72956-5109
Phone number: 479-410-1740
Mailing Address
-- SHANNON STEPHEN PTA
2111 BAINBRIDGE AVE
PONCA CITY, OK 74604-2404
Phone number: 580-765-0057
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