Individual
SHANNON JOYCE QUIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
350 KINGS WAY RD, MARTINSVILLE, VA 24112-6631
(276) 634-1581
Mailing address
350 KINGS WAY RD, MARTINSVILLE, VA 24112-6631
(276) 634-1581
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601463
VA
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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