Individual
SHANNON GRACE KENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
501 W WILLIAMS ST UNIT 346, APEX, NC 27502-1998
(919) 448-6018
(855) 264-2501
Mailing address
905 ODYSSEY DR, DURHAM, NC 27713-1381
(607) 725-8288
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17605
NC
Other
Enumeration date
08/05/2022
Last updated
06/11/2025
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