Individual
SHANNON MARIE GATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 EAGLE AVE, OCEAN, NJ 07712-7631
(732) 660-6200
Mailing address
1200 EAGLE AVE, OCEAN, NJ 07712-7631
(732) 660-6200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00936300
NJ
Other
Enumeration date
07/11/2020
Last updated
07/11/2020
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