SHANNON DEE STODDARD

KEIZER, OR
NPI1508048695
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  8017)
Enumeration Date2007-11-29
Last Update Date2007-11-29
Business Address
-- SHANNON DEE STODDARD PTA
5300 RIVER RD N
KEIZER, OR 97303-4428
Phone number: 503-570-3665
Mailing Address
-- SHANNON DEE STODDARD PTA
275 LAKEPOINT PL N APT 334
KEIZER, OR 97303-8317
Phone number: 503-798-8176
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