Individual
SHANNON JILL COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 599-2515
Mailing address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002766
WV
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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