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Individual
SHANNON NICOLE WALSH
Active
Individual
SHANNON NICOLE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25812
MA
225100000X
Physical Therapist
4875
NH
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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