Individual
MRS. SHANNON M GREENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1700 SOUTH BLVD, CONWAY, AR 72034-6455
(501) 329-2164
(501) 329-2113
Mailing address
4625 GRAHAM DR, CONWAY, AR 72034-8206
(501) 329-0624
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2473
AR
Other
Enumeration date
03/08/2007
Last updated
07/09/2007
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