SHANNON M FORRESTALL

SALEM, OR
NPI1598743999
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  3693)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2006-01-05
Last Update Date2022-02-28
Business Address
SHANNON M FORRESTALL MSPT
1655 CAPITOL ST NE
SALEM, OR 97301-7845
Phone number: 503-983-8811
Mailing Address
SHANNON M FORRESTALL MSPT
1655 CAPITOL ST NE
SALEM, OR 97301-7845
Phone number: 503-983-8811
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