Individual
MRS. ELLEN KLAUSER SHANNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,P.T.
Contact information
Practice address
484 MAIN ST, WORCESTER, MA 01608-1893
(508) 751-6306
Mailing address
484 MAIN ST, WORCESTER, MA 01608-1893
(508) 751-6306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10014
MA
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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