Individual
SHANNON J JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
1190 E MISSOURI AVE, STE 100, PHOENIX, AZ 85014-2734
(602) 393-0520
(602) 393-0523
Mailing address
1190 E MISSOURI AVE, STE 100, PHOENIX, AZ 85014-2734
(602) 393-0520
(602) 393-0523
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
9521
AZ
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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