Individual
MRS. SHANNON LEIGH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
9601 I-630 EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-7598
Mailing address
9601 I-630 EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-7598
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1308
AR
225XH1200X
Hand Occupational Therapist
OTR1308
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152424721
—
AR
Enumeration date
04/17/2006
Last updated
08/29/2008
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