Individual
SHANNON TAMBOLLEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS OT
Contact information
Practice address
390 ORLEANS RD, NORTH CHATHAM, MA 02650-1154
(508) 945-9611
(508) 945-9603
Mailing address
5 FEDERAL LN, EAST HARWICH, MA 02645-1348
(774) 209-9187
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7524
MA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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