NPI 1780419309
Shannon O'Malley
Practice location
- Address
- 3500 Civic Center Blvd, Philadelphia, PA 19104-4395
- Phone
- (610) 357-2289
- Mailing address
- 2001 Spring Garden St APT 104, Philadelphia, PA 19130-5011
Registered specialties
Clinical Exercise Physiologist
Primary
Registry record
- NPI
- 1780419309
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Sep 2024
- Record last updated
- 4 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.