Individual
SHANON JEAN HEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
8125 BURRAY CT, CHESTERFIELD, VA 23838-5156
(804) 717-2271
Mailing address
8125 BURRAY CT, CHESTERFIELD, VA 23838-5156
(804) 717-2271
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601305
VA
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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