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Richard Shannon, PTA
NPI 1861526634 · on the registry since 2007
Practice
- Address
- 1830 Nw 122nd Ter
Pembroke Pines, FL 33026 - Phone
- (954) 435-5300
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida