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Individual
SHANNON DESIREE TAYLOR
Active
Individual
SHANNON DESIREE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5210
NC
225XG0600X
Gerontology Occupational Therapist
Primary
5210
NC
225XR0403X
Driving and Community Mobility Occupational Therapist
5210
NC
Other
Enumeration date
12/15/2011
Last updated
08/18/2026
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