RICHARD SCOTT SHANNON

PEMBROKE PINES, FL
NPI1861526634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 20061)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
-- RICHARD SCOTT SHANNON PTA
1830 NW 122ND TER
PEMBROKE PINES, FL 33026-1966
Phone number: 954-435-5300
Mailing Address
-- RICHARD SCOTT SHANNON PTA
3672 SW 61ST AVE APT 1
DAVIE, FL 33314-2553
Phone number: 954-873-8673
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