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Individual
SHANNEN DRENNON
Active
Individual
SHANNEN DRENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044407
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044407
PHYSICAL THERAPY LICENSE
NY
Enumeration date
08/07/2016
Last updated
09/07/2021
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