MRS. Shannon Dawn Deluca, P.T.

NPI #1053630418 in Port Jefferson Station, New York

Provider Information

NPI Number
1053630418
Entity Type
Individual
Name
MRS. Shannon Dawn Deluca, P.T.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
P.T.
Enumeration Date
May 25, 2010
Last Updated
Jun 7, 2016

Practice Location

Address
1010 ROUTE 112
Address 2
SUITE 200
ZIP Code
11776-3387
Phone
(631) 476-4880

Specialties & Taxonomy Codes

Specialty
Specialist
Physical Therapist

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