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Individual
MRS. SHAWNA MARIE PRINGLE
Active
Individual
MRS. SHAWNA MARIE PRINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207042
VA
225100000X
Physical Therapist
PT018301
PA
2251X0800X
Orthopedic Physical Therapist
PT018301
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477668788
—
VA
01
—
C05954
MEDICARE GROUP PTAN
VA
Enumeration date
08/20/2006
Last updated
11/08/2012
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