Individual
MS. SHANNON KRISTINA SLATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5275 MILLENNIUM DR NW, HUNTSVILLE, AL 35806-2457
(256) 489-6800
Mailing address
1043 PARKER RD SE, HARTSELLE, AL 35640-3364
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2-0511
AL
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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