Individual
ELIZABETH ANN SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4387 LEISURE TIME DR, DIAMONDHEAD, MS 39525-3242
(228) 255-3533
(228) 255-3536
Mailing address
1171 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-4000
(228) 875-4051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1154
MS
Other
Enumeration date
07/11/2013
Last updated
08/06/2013
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