Individual
SHANNON DENISE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
202 SMOKETREE WAY, LOUISBURG, NC 27549-2165
(919) 495-6500
Mailing address
302 LAYTON STORE RD, CASTALIA, NC 27816-9211
(919) 853-2976
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3309
NC
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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