Individual
MRS. SHANNON COYLE RIORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
157 GRAND MAISON BLVD, MANDEVILLE, LA 70471-8508
(985) 626-7449
(985) 626-7449
Mailing address
157 GRAND MAISON BLVD, MANDEVILLE, LA 70471-8508
(985) 626-7449
(985) 626-7449
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11085
LA
Other
Enumeration date
07/20/2008
Last updated
07/20/2008
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