Individual
SHANNON MARIE WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2315 SHAMROCK LN, MILLVILLE, NJ 08332-6433
(239) 464-9971
Mailing address
2315 SHAMROCK LN, MILLVILLE, NJ 08332-6433
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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