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1730904111
SHANNA C CODERRE
KATY, TX
NPI
1730904111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2024-11-20
Last Update Date
2024-11-20
Business Address
SHANNA C CODERRE PTA
6722 DEVONPORT DR
KATY, TX 77449-6365
Phone number: 314-680-7796
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Mailing Address
SHANNA C CODERRE PTA
6722 DEVONPORT DR
KATY, TX 77449-6365
Phone number: 314-680-7796
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