Individual
SHANNON BLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 HORSHAM RD, MONTGOMERYVILLE, PA 18936-9648
(267) 939-2029
Mailing address
9709 BEREA ST, PHILADELPHIA, PA 19114-1723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
10/03/2021
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