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Individual
SHANNON FORD
Active
Individual
SHANNON FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26179
FL
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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