Individual
SHANNON NOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581
(281) 997-8509
(888) 449-0039
Mailing address
2521 SISKIN TRAIL, LEAGUE CITY, TX 77573
(832) 816-1096
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2042547
TX
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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