Individual
SHANNON MARIE LIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 PHILLIPS AVE, PITTSBURGH, PA 15217-2254
(412) 586-3715
Mailing address
5701 PHILLIPS AVE, PITTSBURGH, PA 15217-2254
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009434
PA
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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