Individual
SHANNON DAVIS DEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2303 WELLINGTON DR SW, SUITE B, WILSON, NC 27893-8620
(252) 243-6818
(252) 243-9557
Mailing address
2303 WELLINGTON DR., SUITE B, WILSON, NC 27893
(252) 243-6818
(252) 243-9557
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3447
NC
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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