Most Relevant Information
Provider Data
| NPI Number: | 1003574849 |
| Provider Name: | SHANNON PATTERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 51574 |
Most Important Dates
| Enumeration Date: | 11/29/2021 |
| Last Updated: | 11/29/2021 |
Provider Practice Location
7071 WARNER AVE
HUNTINGTON BEACH
CA
926475495
Practice Location Phone/Fax
| Phone: | 7148473800 |
| Fax: |
Provider Mailing Location
3933 ARAGON PL
FULLERTON
CA
928351001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |