Individual
DR. KENNETH JOHN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Mailing address
340 N MAIN ST, COHASSET, MA 02025-1362
(617) 233-4108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10815
MA
Other
Enumeration date
11/15/2006
Last updated
01/18/2021
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