Individual
MICHAEL SHUNNARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3033 SARNO RD, MELBOURNE, FL 32934-7229
(321) 255-9200
Mailing address
6002 GOLETA CIR, MELBOURNE, FL 32940-8037
(502) 435-7059
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 24841
FL
225200000X
Physical Therapy Assistant
PTA A02935
KY
Other
Enumeration date
05/21/2014
Last updated
03/24/2016
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