Individual
SHANNON P LANDGRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12468 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2506
(314) 739-1123
(314) 739-1173
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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