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Individual

MRS. SHANNON DIANE WOODS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1 FREEDOMS WAY, CLARKSBURG, WV 26301-3564
(304) 626-1602
Mailing address
67 W END DR, FAIRMONT, WV 26554-3549
(304) 282-6149

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1897
WV

Other

Enumeration date
10/26/2022
Last updated
10/26/2022
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