Individual
CYNTHIA R SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2217 SUNSET BLVD STE 711, ROCKLIN, CA 95765-4783
(916) 435-3500
(916) 435-3003
Mailing address
PO BOX 1452, PENN VALLEY, CA 95946-1452
(916) 521-4793
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51032
CA
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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