Individual
MRS. SHANNON ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8507 NE 8TH WAY, VANCOUVER, WA 98664-1980
(360) 254-5335
(360) 892-2086
Mailing address
17705 SE 16TH ST, VANCOUVER, WA 98683-1918
(360) 513-4557
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60033952
WA
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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