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Individual

SHANNON FRUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2265 EXCHANGE ST, ASTORIA, OR 97103-3331
(503) 338-7555
Mailing address
PO BOX 976, OCEAN PARK, WA 98640-0976
(509) 993-1760

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61522066
WA
225100000X
Physical Therapist
CP032260T
OR

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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