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1710046602
SHANNON HENWOOD
SAN DIEGO, CA
NPI
1710046602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 13033)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
-- SHANNON HENWOOD P.T.
4060 4TH AVE #105
SAN DIEGO, CA 92103-2116
Phone number: 619-299-5246
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Mailing Address
-- SHANNON HENWOOD P.T.
5962 LA PLACE CT STE 170
CARLSBAD, CA 92008-8807
Phone number: 800-929-4776
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