Individual
SHANNON H GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
733 VOLVO PKWY STE 300, CHESAPEAKE, VA 23320-1610
(757) 321-3300
Mailing address
230 CLEARFIELD AVE STE 124, VA BEACH, VA 23462-1832
(757) 321-3300
(757) 321-3330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009349
VA
Other
Enumeration date
02/09/2022
Last updated
02/06/2024
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