Individual
SHANNON R SPAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2130 HIGHWAY 35 STE 311, SEA GIRT, NJ 08750-1011
(732) 800-3001
(732) 800-3002
Mailing address
2130 HIGHWAY 35 STE 311, SEA GIRT, NJ 08750-1011
(732) 800-3001
(732) 800-3002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00610000
NJ
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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