Individual
SHANNON DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0130
(479) 750-0937
Mailing address
1 CHILDRENS WAY, SLOT 900, LITTLE ROCK, AR 72202
(501) 364-3620
(501) 364-3994
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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