Most Relevant Information
Provider Data
| NPI Number: | 1003001975 |
| Provider Name: | SHANNON DIANE CHRISTIANSON DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 261QP2000X |
| Specialty: | Clinic/Center |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/12/2007 |
| Last Updated: | 11/28/2011 |
Provider Practice Location
3900 E PACIFIC COAST HWY
LONG BEACH
CA
908042013
Practice Location Phone/Fax
| Phone: | 5629862375 |
| Fax: |
Provider Mailing Location
3900 E PACIFIC COAST HWY
LONG BEACH
CA
908042013
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |