Individual
SHANNON MARIE GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6099 T C WALKER RD, GLOUCESTER, VA 23061-4403
(804) 693-7880
(804) 693-5203
Mailing address
PO BOX 1800, 4830 DAVID DR., GLOUCESTER, VA 23061-1800
(804) 693-6303
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003932
VA
Other
Enumeration date
06/13/2007
Last updated
03/23/2018
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