Individual
MS. SHANNON DAWN O'QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2601A DEMERE RD, ST SIMONS ISLAND, GA 31522-1614
(912) 634-9945
(912) 638-1584
Mailing address
2601A DEMERE RD, ST SIMONS ISLAND, GA 31522-1614
(912) 634-9945
(912) 638-1584
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001716
GA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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