MISS Shannon Makuen Olin, PT

NPI #1437394830 in Jamaica Plain, Massachusetts

Provider Information

NPI Number: 1437394830
Entity Type: Individual
Name: MISS Shannon Makuen Olin, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 13, 2008
Last Updated: Dec 13, 2008

Practice Location

Address: 670 CENTRE ST
Address 2: SUITE #1
City: Jamaica Plain
State: Massachusetts
ZIP Code: 02130-2511
Phone: (617) 512-4197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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