Individual
MS. SHANNON CALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0004734
CO
225XP0200X
Pediatric Occupational Therapist
OT.0004734
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT.0004734
OT LICENSE
CO
Enumeration date
06/19/2018
Last updated
08/26/2024
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