Individual
JENNIFER SHAHAN, PT, DPT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 REDHAWK CT, NORTH RICHLAND HILLS, TX 76180-6380
(214) 335-3931
Mailing address
1207 S WHITE CHAPEL BLVD, SOUTHLAKE, TX 76092-9314
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1131886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1131886
—
TX
Enumeration date
03/28/2020
Last updated
03/28/2020
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