Individual
SHANNON KELLY BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7106 HUNTERS BLUFF DR, DENVER, NC 28037-8054
(704) 965-3845
Mailing address
7106 HUNTERS BLUFF DR, DENVER, NC 28037-8054
(704) 965-3845
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6765
NC
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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