Individual
MRS. SHANNON MARIE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
607 WAGON RD, MOREHEAD CITY, NC 28557-3174
(443) 789-8530
Mailing address
607 WAGON RD, MOREHEAD CITY, NC 28557-3174
(443) 789-8530
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10328
NC
225XE0001X
Environmental Modification Occupational Therapist
Primary
10328
NC
Other
Enumeration date
10/24/2022
Last updated
06/11/2024
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