Individual
MRS. SHANNON LISE HOSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS P.T.
Contact information
Practice address
4952 HOOK HOLLOW CIR, ORLANDO, FL 32837-4903
(631) 806-2467
Mailing address
4952 HOOK HOLLOW CIR, ORLANDO, FL 32837-4903
(631) 806-2467
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
021088
NY
2251P0200X
Pediatric Physical Therapist
Primary
30839
FL
Other
Enumeration date
05/01/2007
Last updated
12/04/2015
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