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Individual
SHANNON WEBB
Active
Individual
SHANNON WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
1683
CT
Other
Enumeration date
01/19/2016
Last updated
04/06/2017
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