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Shannon L Juneau, MPT

Physical Therapist in Gonzales, LA. Individual provider (NPI-1).

NPI number1457587487
StatusActive
Last updated in NPPESJun 4, 2009

Details

NPI
1457587487
Entity type
Individual (NPI-1)
Name
Mrs. Shannon L Juneau
Credential
MPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 4, 2009
Last updated
Jun 4, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist04722LAYes

Practice location

11131 N Terrell Ave
Gonzales, LA 70737-7876

Phone 225-644-8731

Mailing address

11131 N Terrell Ave
Gonzales, LA 70737-7876

Phone 225-644-8731

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