| NPI | 1740665918 |
|---|---|
| Former Name | MARY FRANCES SHAUGHNESSY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MS PT5809) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MS MS5809) |
| 225100000X Physical Therapist (Licence: AL PTH7947) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2018-04-26 |