Cooley, Shannon Nicole

Cooley, Shannon Nicole is an individual health care provider with primary practice located at 5223 Buckeystown Pike Ste 158 , Frederick MD 21704-7535. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Cooley, Shannon Nicole can be contacted via phone (301) 662-6790.

Contact Information

Primary practice address
5223 Buckeystown Pike Ste 158 Frederick MD 21704-7535
Phone: (301) 662-6790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2305215071 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 28996 Maryland

Profile Details

NPI number 1437888724
LBN Legal business name Cooley, Shannon Nicole
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2022
Last updated Jun 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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