Individual
MISS SHANNON O'RAWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS/LRT
Contact information
Practice address
1707 WATERCLOSE CT, APEX, NC 27502-6264
(919) 518-7938
Mailing address
1707 WATERCLOSE CT, APEX, NC 27502-6264
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
3140
NC
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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