Individual
SHANNON CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
209 SCOUT LN, CHINQUAPIN, NC 28521-8782
(336) 302-3774
Mailing address
209 SCOUT LN, CHINQUAPIN, NC 28521-8782
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12734
NC
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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