License holder summary

SHANNON WAIVADA is a Physical Therapist licensed to practice in New Jersey. This licensed professional license is current. The license was granted 09/09/1999 and expired on 01/31/2014.

New Jersey

Division of Consumer Affairs

SHANNON WAIVADA
Physical Therapist
License number
40QA00853800
Date granted
09/09/1999
Date expires
01/31/2014
Class
Physical Therapist
Status
Active
licensingnj.com
ID 9682584
LAST UPDATED 2026-06-21 00:41:08 UTC

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