Individual
SHANNON JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(864) 244-3626
Mailing address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(864) 244-3626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4269
NC
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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