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1962630061
SHANNON LOGAN HEALY
SANTA MONICA, CA
NPI
1962630061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT35550)
Enumeration Date
2009-06-26
Last Update Date
2010-12-13
Business Address
-- SHANNON LOGAN HEALY PT
1033 12TH ST 102
SANTA MONICA, CA 90403
Phone number: 310-650-3854
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Mailing Address
-- SHANNON LOGAN HEALY PT
1033 12TH ST 102
SANTA MONICA, CA 90403
Phone number: 310-650-3854
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