Michael Shannon
Michael Shannon is a Rehabilitation Practitioner in Van Nuys, California. Practices as a sole proprietor. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
13457 Vanowen StVan Nuys, CA 91405-4385
Phone: (818) 787-2734
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1629301486 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 11, 2009 |
| Last updated in NPPES | September 11, 2009 |
| Mailing address | 13457 Vanowen St, Van Nuys, CA 91405-4385 |
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