Individual
CONNIE SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5230 KINGS MILLS RD, MASON, OH 45040-2319
(513) 398-2000
(513) 332-9098
Mailing address
6264 AVENTURA DR, SARASOTA, FL 34241-9446
(941) 539-4964
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4294
OH
3747A0650X
Attendant Care Provider
Primary
—
FL
Other
Enumeration date
03/12/2008
Last updated
08/23/2019
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