| NPI | 1942502950 |
|---|---|
| Former Name | SHANNA L ANDREWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033404) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY P78218) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2011-12-08 |