SHAWNERY DAVIDSON

GRANITE CITY, IL
NPI1801244710
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160002824)
Enumeration Date2016-06-01
Last Update Date2016-06-01
Business Address
-- SHAWNERY DAVIDSON PTA
5408 MARYVILLE RD
GRANITE CITY, IL 62040-2611
Phone number: 618-581-8328
Mailing Address
-- SHAWNERY DAVIDSON PTA
5408 MARYVILLE RD
GRANITE CITY, IL 62040-2611
Phone number: 618-581-8328
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