Shannon Ford, PTA

NPI #1184089005 in Starke, Florida

Provider Information

NPI Number
1184089005
Entity Type
Individual
Name
Shannon Ford, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Dec 18, 2015
Last Updated
Dec 18, 2015

Practice Location

Address
7195 NW 215TH WAY
City
Starke
State
Florida
ZIP Code
32091-5174
Phone
(386) 623-3468

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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