Davidson, Shawnery

Davidson, Shawnery is an sole proprietor health care provider with primary practice located at 5408 Maryville Rd , Granite City IL 62040-2611. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Davidson, Shawnery can be contacted via phone (618) 581-8328.

Contact Information

Primary practice address
5408 Maryville Rd Granite City IL 62040-2611
Phone: (618) 581-8328
Fax: (708) 479-2112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160002824 Illinois

Profile Details

NPI number 1801244710
LBN Legal business name Davidson, Shawnery
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2016
Last updated Jun 1st, 2016 - about 9 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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