SHANNON MCIVOR

WARD, AR
NPI1598075426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT3261)
Enumeration Date2010-10-13
Last Update Date2010-10-13
Business Address
-- SHANNON MCIVOR
1500 WILSON LOOP
WARD, AR 72176
Phone number: 501-941-5630
Mailing Address
-- SHANNON MCIVOR
15351 HIGHWAY 5 APT 227
CABOT, AR 72023
Phone number:
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