Individual
SHANNON DUNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8998
Mailing address
2425 WINDING CREEK DR SW, WILSON, NC 27893-8616
(910) 238-0447
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5210
NC
225XR0403X
Driving and Community Mobility Occupational Therapist
5210
NC
Other
Enumeration date
12/15/2011
Last updated
10/25/2018
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