Individual
SHANNON CLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
41 JEWEL ST, BROOKLYN, NY 11222-3511
(719) 661-6173
Mailing address
41 JEWEL ST APT 3R, BROOKLYN, NY 11222-3511
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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