Most Relevant Information
Provider Data
| NPI Number: | 1003002387 |
| Provider Name: | SHANNON CRIADO DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT015949 |
Most Important Dates
| Enumeration Date: | 09/19/2007 |
| Last Updated: | 09/19/2007 |
Provider Practice Location
200 12TH ST
FRANKLIN
PA
163231217
Practice Location Phone/Fax
| Phone: | 8144373071 |
| Fax: |
Provider Mailing Location
2617 RAYMILTON RD
UTICA
PA
163621521
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |