Shannon Del Rosario

NPI #1164666293 in Brandon, Florida

Provider Information

NPI Number: 1164666293
Entity Type: Individual
Name: Shannon Del Rosario
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 20, 2009
Last Updated: Apr 20, 2009

Practice Location

Address: 602 VONDERBURG DR
Address 2: 201
City: Brandon
State: Florida
ZIP Code: 33511-5900
Phone: (813) 653-1149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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