Individual
SHANNON O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 FELLOWSHIP RD, BASKING RIDGE, NJ 07920-3915
(908) 580-3800
Mailing address
8000 FELLOWSHIP RD, BASKING RIDGE, NJ 07920-3915
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
46TA09226300
NJ
225XP0019X
Physical Rehabilitation Occupational Therapist
46TA09226300
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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