Jeanette Shannon-Alix

NPI #1558488916 in Bridgeport, West Virginia

Provider Information

NPI Number: 1558488916
Entity Type: Individual
Name: Jeanette Shannon-Alix
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Mar 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 41 CRESTVIEW TER
City: Bridgeport
State: West Virginia
ZIP Code: 26330-1010
Phone: (304) 842-3610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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