Shannon Dee Stoddard, PTA

NPI #1508048695 in Keizer, Oregon

Provider Information

NPI Number: 1508048695
Entity Type: Individual
Name: Shannon Dee Stoddard, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 29, 2007
Last Updated: Nov 29, 2007

Practice Location

Address: 5300 RIVER RD N
City: Keizer
State: Oregon
ZIP Code: 97303-4428
Phone: (503) 570-3665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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