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Individual
SHANNON L PARKER
Active
Individual
SHANNON L PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12913
NC
225100000X
Physical Therapist
Primary
34082
FL
Other
Enumeration date
04/21/2011
Last updated
01/17/2019
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