Individual
JOY DANIELLE SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4177 IRVING ST, DENVER, CO 80211-1626
(503) 358-0435
Mailing address
4177 IRVING ST, DENVER, CO 80211-1626
(503) 358-0435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0013846
CO
Other
Enumeration date
11/28/2006
Last updated
01/12/2022
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