Individual
SHANNON MARIE GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 MAIN ST, ACTON, MA 01720-3658
(978) 287-7878
(978) 287-7879
Mailing address
25 HAPGOOD RD, WORCESTER, MA 01605-3802
(508) 868-3754
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6278
MA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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