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Individual

KAITLYN M SHAUGHNESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
49 MDG, 280 DAVID L. GOLDFEIN ST, BLDG 23, HOLLOMAN AFB, NM 88330
(575) 572-8860
Mailing address
49 MDG, 280 DAVID L. GOLDFEIN ST, BLDG 23, HOLLOMAN AFB, ALAMOGORDO, NM 88330

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14694-24
WI

Other

Enumeration date
07/09/2019
Last updated
07/18/2024
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