| NPI | 1417303249 |
|---|---|
| Former Name | SHANNON DOWNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH8935) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 301379) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2023-11-22 |