Doctor Name: | SHANNON L WHEATON |
NPI Number: | 1134210438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2263 |
Business Practice Address: | 4 Hawthorne Dr Bedford, NH - 031106912 |
Business Phone Number: | 6034728888 |
Business Fax Number: | 6034729090 |
Mailing Address: | 4 Hawthorne Dr, BEDFORD |
State: | NH |
Postal Code: | 031106912 |
Phone Number: | 6034728888 |
Fax Number: | 6034729090 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 11/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2263 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |