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Individual
SHAELYN ANNUNZIATA
Active
Individual
SHAELYN ANNUNZIATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11769
MN
225100000X
Physical Therapist
Primary
40QA01549600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11769
PT LICENSE
MN
01
—
40QA01549600
PT LICENSE
NJ
Enumeration date
06/20/2013
Last updated
07/23/2026
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