| NPI | 1841493855 |
|---|---|
| Former Name | SHANNON TARTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017448) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2025-01-23 |