Individual
MRS. SHANNON ALEXIA SHNEYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, MTC
Contact information
Practice address
2082 SARNO ROAD, MELBOURNE, FL 32935
(321) 255-2818
Mailing address
171 SAND DOLLAR RD, INDIALANTIC, FL 32903
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 17946
FL
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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