Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON O'CONNOR, MPT
Active Sole ProprietorSHANNON O'CONNOR, MPT is a Physical Therapy Assistant healthcare provider located in TUMON, Guam. NPI 1093154742 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · TUMON, GU
Registration Details
- NPI Number
- 1093154742
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2013 (13.129631779465 yrs)
- Last Updated
- Jun 17, 2013
- Licenses
-
PT-104 (GU)PT008218 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
C-1 SANTOS WAYPALM SEAS CONDOTUMON, GU, 96911Browse GU providers · Browse ZIP 96911
- Phone
- 6717887573
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
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.