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Individual
SHANNON DANAE KEITH
Active
Individual
SHANNON DANAE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1371767
TX
225100000X
Physical Therapist
Primary
27234
MA
225100000X
Physical Therapist
301659
CA
225100000X
Physical Therapist
PT6507
ME
Other
Enumeration date
03/01/2023
Last updated
10/25/2023
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