Individual
SHANE O'BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4411 SAN MATEO BLVD NE STE 11, ALBUQUERQUE, NM 87109-2011
(515) 217-3907
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20250217
NM
225100000X
Physical Therapist
—
SC
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/24/2023
Last updated
08/06/2025
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