Individual
SHANNON CHRISTINE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3004 CAPROCK CT, SAINT LOUIS, MO 63129-5248
(314) 640-4784
Mailing address
3004 CAPROCK CT, SAINT LOUIS, MO 63129-5248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022004146
MO
Other
Enumeration date
08/15/2022
Last updated
05/29/2025
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