MICHAEL JAMES SHANNON

VISTA, CA
NPI1952577983
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  27069)
Enumeration Date2008-04-30
Last Update Date2020-06-24
Business Address
MICHAEL JAMES SHANNON PT
410 S MELROSE DR STE 200
VISTA, CA 92081-6623
Phone number: 858-229-8178
Mailing Address
MICHAEL JAMES SHANNON PT
4050 HARBOR DR
CARLSBAD, CA 92008-4113
Phone number: 858-229-8178