Shannon Andrade Calvillo

NPI #1164129763 in Castaic, California

Provider Information

NPI Number: 1164129763
Entity Type: Individual
Name: Shannon Andrade Calvillo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 14, 2023
Last Updated: Feb 14, 2023

Practice Location

Address: 27626 SEDONA WAY
City: Castaic
State: California
ZIP Code: 91384-3580
Phone: (818) 538-0055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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