Individual
SHANNON RENE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1215 JACKSON ST, ANDERSON, IN 46016-1652
(765) 649-1900
(765) 649-4992
Mailing address
PO BOX 1182, ANDERSON, IN 46015-1182
(765) 649-1900
(765) 649-4992
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003472A
IN
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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