Individual
MRS. SHANNON MARIE LINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 PROBASCO ST, CINCINNATI, OH 45220
(513) 281-2464
Mailing address
625 PROBASCO ST, CINCINNATI, OH 45220
(513) 281-2464
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA06753
OH
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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