Individual
SHANNON VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1015 HALF ST SE, WASHINGTON, DC 20003-3654
(202) 630-0378
Mailing address
1015 HALF ST SE, WASHINGTON, DC 20003-3654
(202) 630-0378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT872266
DC
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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