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1386465870
SHANNEL JOHNSON
GREAT NECK, NY
NPI
1386465870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 052825)
Enumeration Date
2024-10-18
Last Update Date
2024-10-18
Business Address
SHANNEL JOHNSON
145 COMMUNITY DR
GREAT NECK, NY 11021-5502
Phone number: 516-719-3745
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Mailing Address
SHANNEL JOHNSON
972 BRUSH HOLLOW RD
WESTBURY, NY 11590-1740
Phone number: 516-474-2816
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