Individual
MRS. SHANNON KAY BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
800 EAST CARPENTER, SPRINGFIELD, IL 62769-0001
(217) 544-6464
Mailing address
5204 MANHATTAN DR, SPRINGFIELD, IL 62711-7991
(217) 726-7538
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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