Individual
MS. SHANNON A CARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
340 S BROADWAY ST, WICHITA, KS 67202-4304
(316) 267-5437
(316) 267-5444
Mailing address
1655 S GEORGETOWN ST, WICHITA, KS 67218-4140
(316) 685-0400
(316) 612-0839
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
T00720
KS
Other
Enumeration date
10/31/2006
Last updated
01/15/2015
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