Individual
SHANNON NICOLE HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3861 RICHLANDS HWY, JACKSONVILLE, NC 28540-7188
(910) 389-2510
Mailing address
3861 RICHLANDS HWY, JACKSONVILLE, NC 28540-7188
(910) 389-2510
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6778
NC
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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