Individual
DANIEL K SHAUGHNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1224 CRANBROOK DR, HIXSON, TN 37343-4804
(423) 309-7202
(423) 309-7202
Mailing address
1224 CRANBROOK DR, HIXSON, TN 37343-4804
(423) 309-7202
(423) 309-7202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1889
TN
Other
Enumeration date
02/02/2012
Last updated
10/18/2014
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