Shannon Elizabeth Tate, LPTA

NPI #1871771642 in Springfield, Virginia

Provider Information

NPI Number: 1871771642
Entity Type: Individual
Name: Shannon Elizabeth Tate, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Feb 4, 2008
Last Updated: Feb 4, 2008

Practice Location

Address: 6501 LOISDALE CT
City: Springfield
State: Virginia
ZIP Code: 22150-1826
Phone: (703) 922-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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