Individual
SHAMON WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1436 BROWNLEAF DR, RICHMOND, VA 23225-4106
(804) 489-4277
Mailing address
1436 BROWNLEAF DR, RICHMOND, VA 23225-4106
(804) 489-4277
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606830
VA
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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