Cornell, Shannon

Cornell, Shannon is an individual health care provider with primary practice located at 6525 2Nd Ave , Detroit MI 48202-3006. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Cornell, Shannon can be contacted via phone (313) 972-4060.

Contact Information

Primary practice address
6525 2Nd Ave Detroit MI 48202-3006
Phone: (313) 972-4060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X Michigan

Profile Details

NPI number 1164008520
LBN Legal business name Cornell, Shannon
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2021
Last updated Apr 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers