Individual
SHANNON HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1901 PHOENIX BLVD STE 120, ATLANTA, GA 30349-5062
(404) 355-6548
Mailing address
2001 PEACHTREE RD NE STE 705, ATLANTA, GA 30309-1476
(404) 355-0743
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007039
GA
225X00000X
Occupational Therapist
OT25862
CA
225X00000X
Occupational Therapist
OT61448121
WA
225X00000X
Occupational Therapist
OT7465
SC
225X00000X
Occupational Therapist
OTH-009752
AZ
Other
Enumeration date
07/16/2018
Last updated
10/28/2025
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