Individual
SHAUN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1200 SUFFIELD ST # 2933, AGAWAM, MA 01001-2933
(413) 789-2200
Mailing address
180 MALLARD CIR, AGAWAM, MA 01001-3417
(413) 219-2781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8833
MA
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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