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Individual

SHANNON T NORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
25833 HIGHWAY 181, DAPHNE, AL 36526-6101
(251) 689-8153
(251) 625-6515
Mailing address
25833 HIGHWAY 181, DAPHNE, AL 36526-6101
(251) 689-8153
(251) 625-6515

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2113
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51546373
BLUE CROSS BLUE SHIELD AL
AL
Enumeration date
06/10/2008
Last updated
06/10/2008
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