NPI | 1518260405 |
---|---|
Doing Business As | SHANNON LOGAN HEALY |
Entity Type | Organization |
Authorized Contact | SHANNON LOGAN HEALY Physical Therapist/Owner 310-650-3854 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 35550) |
Enumeration Date | 2010-12-15 |
Last Update Date | 2010-12-15 |