Shannon Vissman, DPT

NPI #1053335604 in Canonsburg, Pennsylvania

Provider Information

NPI Number: 1053335604
Entity Type: Individual
Name: Shannon Vissman, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jul 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 227 DEMAR BLVD
City: Canonsburg
State: Pennsylvania
ZIP Code: 15317-2270
Phone: (724) 745-6055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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