Individual
MS. SHANNON MAE TRAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
23 PLUMB BROOK RD, WOODBURY, CT 06798-2116
(203) 263-0464
Mailing address
23 PLUMB BROOK RD, WOODBURY, CT 06798-2116
(203) 263-0464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001300
CT
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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