Female

Shawn M. Hanrahan PTA

Physical Therapy Assistant in Sturgeon Bay, WI(View on Map)

Full Name

Shawn M Hanrahan PTA

NPI Number

1457469033

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/25/2006

Specialties

(Taxonomies)

Code

225200000X
225700000X

Primary Taxonomy

Yes
No

Licenses

State

Wisconsin
Wisconsin

License Number

372-19
535-046

Contact
Information

Purpose

Mailing
Location

Address

323 S 18TH AVE
1300 EGG HARBOR RD STE 152

City

Sturgeon Bay
Sturgeon Bay

State

WI
WI

Postal Code

54235-1401
54235-1248

Country

US
US

Telephone Number

(920) 743-5566
(920) 746-0410

Identifiers

Identifier

40200800

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/07/2024

Provider Address

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