Individual
MRS. SHAUNA MARIE BURNS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3391 AIRPORT RD, PORTAGE, IN 46368-5105
(219) 762-0821
(219) 763-3637
Mailing address
824 175TH ST, HAMMOND, IN 46324-2722
(219) 937-6536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007311A
IN
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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