Individual
SHANON S LENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
609 MAGER AVE, WALHALLA, ND 58282-4405
(701) 265-2350
Mailing address
609 MAGER AVE, WALHALLA, ND 58282-4405
(701) 265-2350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2417
ND
Other
Enumeration date
03/28/2022
Last updated
05/14/2025
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