SHANNAN C VINCENT

SOUTH BEND, IN
NPI1982249090
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05003605A)
Enumeration Date2019-11-12
Last Update Date2026-06-30
Business Address
SHANNAN C VINCENT PT
3016 PORTAGE AVE
SOUTH BEND, IN 46628-3501
Phone number: 574-272-9011
Mailing Address
SHANNAN C VINCENT PT
686 FOREST CT
NAPPANEE, IN 46550-2831
Phone number: 574-773-0207
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