Shannon Logan
Shannon Logan is a Physical Therapist in Palm Bay, Florida. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
5200 Babcock St NE Ste 401Palm Bay, FL 32905-4650
Phone: (321) 984-9606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1437268091 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 29, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 842 Barbados Ave, Melbourne, FL 32901-8630 |
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