| Doctor Name: | SHANNON INJETY |
| NPI Number: | 1003917451 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 24657 |
| Business Practice Address: | 1001 E Cooley Dr Ste 101 Colton, CA - 923243941 |
| Business Phone Number: | 9097831111 |
| Business Fax Number: | 9097833957 |
| Mailing Address: | 1001 E Cooley Dr, Ste 101 COLTON |
| State: | CA |
| Postal Code: | 923243941 |
| Phone Number: | 9097831111 |
| Fax Number: | 9097833957 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 24657 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |