Individual
SHANNON O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8350 SILVERBROOK RD, LORTON, VA 22079
(703) 436-0082
Mailing address
3407 COMMONWEALTH AVE APT B, ALEXANDRIA, VA 22305-2840
(919) 600-1559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008715
VA
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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