Shannon O'hern, DPT

NPI #1386069805 in Sturgeon Bay, Wisconsin

Provider Information

NPI Number: 1386069805
Entity Type: Individual
Name: Shannon O'hern, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Feb 19, 2014
Last Updated: Feb 19, 2014

Practice Location

Address: 4001 GLIDDEN DR
City: Sturgeon Bay
State: Wisconsin
ZIP Code: 54235-9183
Phone: (920) 746-8846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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