SHANNON B. ERICSON

OVERLAND PARK, KS
NPI1710941455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KS  11-01600)
Enumeration Date2006-04-12
Last Update Date2007-07-19
Business Address
Mr. SHANNON B. ERICSON MS, PT
5425 W 100TH TER
OVERLAND PARK, KS 66207-3119
Phone number: 913-825-6636
Mailing Address
Mr. SHANNON B. ERICSON MS, PT
5425 W 100TH TER
OVERLAND PARK, KS 66207-3119
Phone number: 913-825-6636
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