| NPI | 1962827337 |
|---|---|
| Former Name | SHANNON DEFILIPPO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024790) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT003449) |
| 225100000X Physical Therapist (Licence: CT 10056) | |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2024-01-17 |