Individual
SHANNON PADALINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
800 SAGUARO TRL, FARMINGTON, NM 87401-9632
(505) 598-6000
(505) 598-6009
Mailing address
800 SAGUARO TRL, FARMINGTON, NM 87401-9632
(505) 598-6000
(505) 598-6009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1293
NM
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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