Individual
SHANNON NASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
452 GRAND ST, REDWOOD CITY, CA 94062-2062
(209) 406-7458
Mailing address
1318 DE SOTO AVE, BURLINGAME, CA 94010-5634
(209) 406-7458
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
15245
CA
Other
Enumeration date
11/03/2014
Last updated
07/01/2024
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