Shannon Kristine Pemble

NPI #1942701909 in Charlevoix, Michigan

Provider Information

NPI Number: 1942701909
Entity Type: Individual
Name: Shannon Kristine Pemble
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 26, 2018
Last Updated: Feb 26, 2018

Practice Location

Address: 14700 LAKE SHORE DRIVE
Address 2: REHAB DEPT
City: Charlevoix
State: Michigan
ZIP Code: 49720
Phone: (231) 547-8630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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