Most Relevant Information
Provider Data
| NPI Number: | 1003818253 |
| Provider Name: | SHANNON O'HAGAN PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT 27227 |
Most Important Dates
| Enumeration Date: | 06/01/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1920 CORDELL CT
EL CAJON
CA
920200900
Practice Location Phone/Fax
| Phone: | 6192587497 |
| Fax: | 6192587260 |
Provider Mailing Location
4763 LAMONT ST
SAN DIEGO
CA
921093420
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |