| 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 |