Individual
SHANNON ALENE EXUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 N AUGUSTA ST, STAUNTON, VA 24401-2401
(540) 886-6233
Mailing address
3902 LITTLE RIVER RD # 165, ROCKFORD, TN 37853-3346
(720) 474-5543
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
CP043311A
VA
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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