Individual
MRS. SHANNON MARIE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
945 E ZERO ST, AINSWORTH, NE 69210-1556
(402) 387-2800
(402) 387-2804
Mailing address
752 N OAK ST, AINSWORTH, NE 69210-1141
(402) 387-2800
(402) 387-2804
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2449
NE
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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