Individual
NIKOLA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 E 33RD ST FL 2, NEW YORK, NY 10016-5081
(646) 487-2495
(646) 487-2061
Mailing address
10 E 33RD ST FL 2, NEW YORK, NY 10016-5081
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013097
NY
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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