Individual
DR. ANDREW CAVALIERE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
1250 SUMMER ST, SUITE 204, STAMFORD, CT 06905-5358
(203) 975-1545
Mailing address
1250 SUMMER ST, SUITE 204, STAMFORD, CT 06905-5358
(203) 975-1545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10264
CT
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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