Individual
SHANNON JENKINS-SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 OCONOR AVE, LA SALLE, IL 61301-1216
(815) 223-0303
Mailing address
1015 OCONOR AVE, LA SALLE, IL 61301-1216
(815) 223-0303
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006554
IL
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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