Individual
MRS. SHANNON OXENDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
310 EAST WARDELL DR., PEMBROKE, NC 28372
(910) 521-1273
Mailing address
310 EAST WARDELL DR., PEMBROKE, NC 28372
(910) 521-1273
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4628
NC
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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