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Individual
SHAUNA S OWENS
Active
Individual
SHAUNA S OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1203878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05112012
AMERICAN HEART ASSOC. - CPR
TX
01
—
1203878
PT LICENSE
TX
Enumeration date
12/17/2010
Last updated
05/13/2011
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