Individual
MRS. SHANNON SHAVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
144 PINE GROVE ST, NEEDHAM, MA 02494-1765
(617) 293-7159
Mailing address
144 PINE GROVE ST, NEEDHAM, MA 02494-1765
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5552
MA
Other
Enumeration date
05/31/2016
Last updated
09/08/2020
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