SHANNON P LANDGRAF

PROREHAB PC

Dr SHANNON P LANDGRAF is a female medical professional, specializing in Physical Therapy. She graduated in 2018.

Contact

PROREHAB PC

12468 SAINT CHARLES ROCK RD
BRIDGETON
MO
630442506

Tel: 3147391123

SHANNON P LANDGRAF Information

Npi 1861968299
Pac Id 4981957271
Professional Enrollment Id I20181105000059
Last Name LANDGRAF
First Name SHANNON
Middle Name P
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROREHAB PC
Group Practice Pac Id 6709789118
Number Of Group Practice Members 160
Line 1 Street Address 12468 SAINT CHARLES ROCK RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BRIDGETON
State MO
Zip Code 630442506
Phone Number 3147391123
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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