Individual
SHANNON MARIE KANNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
65 HOLBROOK ST STE 130, NORFOLK, MA 02056-1849
(508) 426-6491
Mailing address
160 HICKORY RD, WRENTHAM, MA 02093-1075
(508) 954-4612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15552
MA
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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