Individual
MR. SHANNON RAY MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
7770 BURR ST, SCHERERVILLE, IN 46375-3400
(219) 322-8855
Mailing address
633 FILLMORE AVE, DYER, IN 46311-1136
(219) 616-0414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005972A
IN
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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