Pearson, Shana Denise

Pearson, Shana Denise is an individual health care provider with primary practice located at 1100 Blythe Blvd , Charlotte NC 28203-5814. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Pearson, Shana Denise can be contacted via phone (704) 355-7760.

Contact Information

Primary practice address
1100 Blythe Blvd Charlotte NC 28203-5814
Phone: (704) 355-7760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5590 North Carolina

Profile Details

NPI number 1760449532
LBN Legal business name Pearson, Shana Denise
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 28th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760449532 NPPES
North Carolina MEDICAID 7211812

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