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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNEN MARGARET WALLACE

Active Sole Proprietor

SHANNEN MARGARET WALLACE is a Physical Therapy Assistant healthcare provider located in NEWBURYPORT, Massachusetts. NPI 1073233250 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · NEWBURYPORT, MA

Registration Details

NPI Number
1073233250
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2022 (3.9537519891146 yrs)
Last Updated
Aug 30, 2022
License
25919 (MA)
Sole Proprietor
Yes

Practice Information

Address
25 STOREY AVE STE 11
NEWBURYPORT, MA, 019501869
Browse MA providers · Browse ZIP 01950
Phone
9784992370
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in NEWBURYPORT, MA

Name Credential NPI
KAREN HOLMES PT 1588653034
RICHARD BERNIER PT 1194715961
MS. MAUREEN O'CONNELL PT 1497094221
ROBERTA SINGER P.T. 1649666231
WAYNE FISH 1356704639
ALEXANDER ROSS LINDHOLM PERROTT DPT 1124511696
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.