Individual
JENNA MARIE SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1001 LAURENCE AVE, SUITE B, JACKSON, MI 49202-2979
(517) 751-4777
(517) 782-4717
Mailing address
1001 LAURENCE AVE, SUITE B, JACKSON, MI 49202-2979
(517) 751-4777
(517) 782-4717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2939
MN
225100000X
Physical Therapist
Primary
3613166
MI
Other
Enumeration date
08/28/2012
Last updated
07/14/2014
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