Individual
SHANNON R O'HAVERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
30 GOLDEN AVE, ARLINGTON, MA 02476-7065
(617) 947-1915
Mailing address
30 GOLDEN AVE, ARLINGTON, MA 02476-7065
(617) 947-1915
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4225
MA
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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