Individual
SHANNON DECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
301 OCEAN VIEW BLVD, LEWES, DE 19958-1269
(302) 645-4664
Mailing address
30907 EDGEWATER DR, LEWES, DE 19958-3826
(610) 790-9522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0001866
DE
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/20/2019
Last updated
04/24/2019
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