National Provider Identifier
Shannon Lynn Favalo, PT
Shannon Lynn Favalo, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Fairport, NY and a listed phone number of (585) 377-4660.
Profile Overview
- NPI
- 1215423413
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 11, 2018
- Last Updated
- July 11, 2018
Practice Location
- 41 Oconnor RD
- Fairport, NY 14450-1327
Phone: (585) 377-4660
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1215423413
- Entity Type
- Individual
- Last Name
- Favalo
- First Name
- Shannon
- Middle Name
- Lynn
- Credential
- PT
- Mailing Street Address
- 41 Oconnor RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1327
- Mailing Country
- US
- Practice Street Address
- 41 Oconnor RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1327
- Practice Country
- US
- Practice Phone
- (585) 377-4660
- Enumeration Date
- July 11, 2018
- Last Updated
- July 11, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)