Individual
SHANNON LANE SHIMROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
866 GOOSE CREEK RD., TOMS RIVER, NJ 08753
(732) 597-0434
Mailing address
866 GOOSE CREEK RD, TOMS RIVER, NJ 08753-3622
(732) 597-0434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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