Individual
MRS. SHANNON KELLIE MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
561 CONGRESS ST, PORTLAND, ME 04101-3308
(207) 536-4968
(207) 213-4116
Mailing address
388 CAPE RD, HOLLIS CENTER, ME 04042-3712
(207) 298-2651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3976
ME
Other
Enumeration date
01/18/2013
Last updated
04/11/2024
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