SHANNON RICHARDSON

GLENDALE, AZ
NPI1811398332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  11063)
Enumeration Date2014-09-16
Last Update Date2014-09-16
Business Address
-- SHANNON RICHARDSON DPT
4344 W BELL RD
GLENDALE, AZ 85308-3589
Phone number: 602-548-9882
Mailing Address
-- SHANNON RICHARDSON DPT
4344 W BELL RD
GLENDALE, AZ 85308-3589
Phone number: 602-548-9882