Individual
SHANNA LEANNE FLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 PORTERS NECK RD, WILMINGTON, NC 28411-9196
(910) 686-5614
(910) 686-5615
Mailing address
105 MACO RD NE, LELAND, NC 28451-8698
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1061169
NC
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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