Individual
MS. MOLLY S SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5501 EXECUTIVE CENTER DR STE 105, CHARLOTTE, NC 28212-8823
(704) 566-2899
(704) 566-2862
Mailing address
5501 EXECUTIVE CENTER DR STE 105, CHARLOTTE, NC 28212-8823
(704) 566-2899
(704) 566-2862
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2472
NC
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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