Individual
MARY SHANNON BARBOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
609 GARAMOND PL, PEACHTREE CITY, GA 30269-2606
(678) 858-3361
Mailing address
609 GARAMOND PL, PEACHTREE CITY, GA 30269-2606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT.013713
OH
225100000X
Physical Therapist
Primary
PT010114
GA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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