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Shannon Roderique, LPTA
NPI 1992405302 · on the registry since 2023 · sole proprietor
Practice
- Address
- 7068 S Outer 364
O Fallon, MO 63368 - Phone
- (636) 240-6100
- Organisation at this address
- Delmar Gardens Of O'Fallon, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Sex
- Female
- Record last updated
- 2023-03-06
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 Missouri