Individual
SHANNON STOCKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7733 FORSYTH BLVD, 2200, SAINT LOUIS, MO 63105-1817
(815) 694-2176
(815) 694-2176
Mailing address
7733 FORSYTH BLVD, 2200, SAINT LOUIS, MO 63105-1817
(815) 694-2176
(815) 694-2176
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-001933
IL
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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