Individual
MRS. SHANNON L JUNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
11131 N TERRELL AVE, GONZALES, LA 70737-7876
(225) 644-8731
Mailing address
11131 N TERRELL AVE, GONZALES, LA 70737-7876
(225) 644-8731
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04722
LA
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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