Individual
SHANNON O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
C-1 SANTOS WAY, PALM SEAS CONDO, TUMON, GU 96911
(671) 788-7573
Mailing address
PO BOX 24573, BARRIGADA, GU 96921-4573
(671) 788-7573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-104
GU
225100000X
Physical Therapist
PT008218
GA
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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