Shannon Pawul

NPI #1821304270 in Crestwood, Kentucky

Provider Information

NPI Number: 1821304270
Entity Type: Individual
Name: Shannon Pawul
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Aug 24, 2010
Last Updated: Oct 16, 2015

Practice Location

Address: 6317 HIGHWAY 329
City: Crestwood
State: Kentucky
ZIP Code: 40014-9040
Phone: (502) 384-0910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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