Individual
SHANNON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
10337 EMERALD ROCK DR, OAKTON, VA 22124-2705
(804) 370-8185
Mailing address
10337 EMERALD ROCK DR, OAKTON, VA 22124-2705
(804) 370-8185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005096
VA
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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