Individual
MISS SHANON M PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2205 W 29TH AVE, DENVER, CO 80211
(303) 458-1112
Mailing address
2205 W 29TH AVE, DENVER, CO 80211-3803
(303) 458-1112
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0014504
CO
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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