Shannon Marie Smith

NPI #1346463924 in Wyoming, Minnesota

Provider Information

NPI Number
1346463924
Entity Type
Individual
Name
Shannon Marie Smith
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Rehabilitation Practitioner
Enumeration Date
Apr 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
5200 FAIRVIEW BLVD
ZIP Code
55092-8013
Phone
(651) 982-7000

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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