Individual
SHANNON JO SHILLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
519 N 20TH ST APT 23, MILWAUKEE, WI 53233-2535
(414) 935-9581
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
WI
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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