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Individual
SHANNON MARIE MANYDEEDS
Active
Individual
SHANNON MARIE MANYDEEDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2552 - 19
WI
225200000X
Physical Therapy Assistant
Primary
PTA25525
FL
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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