Individual
DR. AUDREY C SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2021 K ST NW STE 202, WASHINGTON, DC 20006-1003
(202) 466-9717
Mailing address
51 LANARK RD, STAMFORD, CT 06902-7819
(203) 981-4001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12428
CT
225100000X
Physical Therapist
Primary
PT872546
DC
Other
Enumeration date
09/30/2019
Last updated
12/18/2023
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