Individual
SHANNON MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 HARDING AVE, LINDENHURST, NY 11757-5902
(631) 226-6420
Mailing address
2419 BAYVIEW AVE, WANTAGH, NY 11793-4303
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
046591
NY
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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