Individual
SHANNON DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
199 NEW RD STE 38, LINWOOD, NJ 08221-2025
(609) 318-6614
Mailing address
307 N GLADSTONE AVE, MARGATE CITY, NJ 08402-1633
(609) 703-8199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01085100
NJ
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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