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Contact Information

JACQUELINE SHANNON
20 INDUSTRIAL PARK DRIVE
NASHUA, NH03062
 Phone: 603-882-4500
 Fax: 603-882-4545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JACQUELINE SHANNON · (Female)

NPI Number 1194137356
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2014
Last updated 09/08/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 21110
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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