Individual
SHANNON STRAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 GREEN MEADOWS RD, MONTVILLE, NJ 07045-9522
(973) 727-3956
Mailing address
9 GREEN MEADOWS RD, MONTVILLE, NJ 07045-9522
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00333000
NJ
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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