Individual
SHANNON MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
35 RIVER ST, BILLERICA, MA 01821-1827
(978) 528-8596
Mailing address
60 GLAD VALLEY DR, BILLERICA, MA 01821-2617
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
367381
MA
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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