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NPI Code Detail

MEDICARE: SHANNON MARIE HIRL DPT

MEDICARE: SHANNON MARIE HIRL DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT027779PA

General Provider Information

NPI Number : 1174184345
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON MARIE HIRL DPT
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number : 630-296-2222
Fax Number : 630-759-9510
Provider Business Practice Location Address
First Line : 5393 S CALLE SANTA CRUZ STE 107
Second Line :
City : TUCSON
State : AZ
Zip : 85706-3556
Country : US
Telephone Number : 520-225-0129
Fax Number : 520-244-0000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2019
Last Update Date : 01/23/2023

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Directions to “ SHANNON MARIE HIRL DPT” Practice Location

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