Individual
SHANNON HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(360) 694-4097
Mailing address
8230 GARNER DR, CORPUS CHRISTI, TX 78414-4408
(360) 632-1044
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
213066
TX
Other
Enumeration date
08/01/2018
Last updated
03/20/2020
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