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Individual
SHANNON LEE CAWLEY
Active
Individual
SHANNON LEE CAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009804L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002129848
BLUE SHIELD
PA
01
—
5213859
AETNA HMO
PA
01
—
834084
FPH
PA
01
—
9521151
AETNA PPO
PA
Enumeration date
05/27/2008
Last updated
06/23/2015
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