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Individual

MS. SHANNON WILLIAMS ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR L

Contact information

Practice address
1275 HIGHWAY 54 W, STE 200, FAYETTEVILLE, GA 30214-4549
(770) 460-8609
(770) 460-8629
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT000918
GA

Other

Enumeration date
01/12/2007
Last updated
06/19/2012
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